HomeMy WebLinkAbout330 NE Solida Dr appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
q�T�__ �11 - �__V Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone. (772) 462-1553 Fax: (772) 462-I578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description':
Property Tax ID #: 17 — (� �) �) I -, Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Q
CONSTRUCTION INFORMATION:
Additional woe k to be erto r ; - JunEer t[ -.s p2..r�itcheck all tn� app T
FHVAC Gas Tank 0(3zi5 Piping shutters windows/Doors
11 Electric l Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: OSewer []Septic Building Height:
OWNER/LESSEE:. CONTRACTOR:
Name Name: JOSEPH F TULLY
Address:Company: GENESIS PLUMBING SERVICES INC
VILLAGE GREEN DRIVE UNIT B
1532 SE
City: State: Address:
Zip Code: Fax: City: PORT ST LUCIE - State:FL
—
Phone No.',' Zip Code: 34952 Fax: 772-335-2680
E -Mail: Phone No. 772-337-3682
Fill in fee simple Title Holder on next page I if different E -Mail: genesisplurnbingservicesggmail-Gom
from the Owner listed above) State or County License: CFC1429103
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —N ot Applicable
Name:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zi p: Phone:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
-Signature of Own er/-Lesse`e%Contractor as Agent for Owner
STATE OF FLORIDA,,
COUNTY OF %6
The forgoing instrument was acknowledgerl,before me
'this
ring
day of 20 ---:by
(Name of person acknowledging)
(Signatia"re`of Notary Public State of Florida j
Personally Known •,••
=� Commission # GG 9715Q
Type of Identificati _
zrl yt�y Ommi Ssion X
""�;;;�n°•,�' Aprl 24 2021
Commission No.
Revised 07/1512014
REVIEWS
FRONT
COUNTER
DATE
CO M PLETE
INITIALS
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20 by
(Name of person acknowledging)
"(Signature of Notary Public- 5fate of Florida
Personally Known-...,."r'.'R ei
Pr�ip�>�t�ficdtGilZ
Type of Identificati'o d commission # GG 97150
ata MY Commission xplly
Commission No.
•`'' Aprll 021
ZNINGROEVIEW 5 REVIEW REVIEW VEGETATION
S REVIEW MANGROVE