HomeMy WebLinkAboutbuilding permit ILL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Mg-D
Date: /S,a D/f Permit Number: �O l
RECE
AUG 1 .5.2010
Building Permit Ap lication
Permitting Department
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
(Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xxx
ERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROP;OSE;D:IM:PROVEMENT.LOCATION'.
Address: 7006 Arthur Road
Legal Description: LAKEWOOD PARK-UNIT 12- BILK 164 LOT 7 (IAP 13/12S) (OR 3754224)
Property Tax ID#: 1301-614-0179-000-7 Lot No.
Site Plan Name: Arthur Roof Block No.
Project Name:
SI tbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION':OF-WORK
Tribuit undedayment Sand-R-SA FL 16048
CONSTRUCTION INFORMATION ;A.
Additionalworktobenertormedunder this permit—check all apply:
HVAC ' 0 Gas Tank 0Gas Piping _ hutters Q Windows/Doors
11 Electric' 0 Plumbing OSprinklers Generator Roof 2 Roof pitch
Total Sq. Ft of Construction: 1800 S nFt o First Floor:
Cost of Construction:$ 10000 Utilities. —S wer Septic Building Height:
01N N ER/LESSEE ;CONT ACTOR:
NIameJOHN PAGANO Name: RAY VILLANOVA
AI dress:455 VASSAR RD. Compa y: VILLANOVA CONSTRUTION INC.
City: POUGHKEEPSIE State:FL Addres : 2908 OLEANDER BLVD.
Zip Code: 12603 Fax: City: F . PIERCE State:FL
Phone No.914-489-3625 Zip Code: 34982 Fax:
E-Mail: Phone No. 772-940=6654
Fill in fee simple Title Holder on next page(if different E-Mail: rayvillan@aol.com
from the Owner listed above) State o County License: CCC 1327240
Lvalue of construction is$2500 or more,a RECORDED Notice of Commencement is required.
,I ,
SUPPLEMENTAL CONSTRUCTION LIE N.LAW INFORMA ION:"
DESIGNER/ENGINEER: _Not Applicable MORTG GE COMPANY: _Not Applicable
Name:"N-PAGANe1- Name: lLumo—vA
A, d d ress:700&AAWFRoad Add res . vAssAR7RD
City:LPea6HKEE-P-SI€ State: City:- PIERCE- State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:2908 OLEANDER BLVD. Address
City: City:
Zip: Phone: Zip: Phone:
i
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obt in a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance ol 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 yo jr deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree hat I will,in all respects, perform the work
inaccordancewith the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a ful I concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms anc accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Comme cement may result in your paying twice for
Improvements to your property.A Notice of Commencement I st be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, co sult with lender or an attorney before
commencing work or recording our Notice of Commencement
signatu a of Owner/Lessee/Contractor as Agent for Owner Signature of-'Contractor/License Holder
I
STATE OF FLORIDA STATE F FLORIDA
COUNTY OF a.� COLINIY OF ,sz
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 14 r4l 204 by this day of 20Lff by
(7i3
Nam of pe on making statement Nam of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produce
i
In 6yo
(SigVturelof Notary Public-State Florida) r of Notary Public-Stat f Florida)
Commission No. (Seal) Commis I
ion No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS 'VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17