HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
[)ate:-8/20/201:8' - Permit Number: 1808-0448
Building Permit'App11cat 'on
Planp7ng-and Development5ervlces
j Building.and Code:'Regulation Division
I 2306 Virginia,Avenue,Fort Pierce FL 34982
i
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
I.
PERMIT APPAL'(CATION FOR: To Select from dropbok, click arrow at the end,of line
Address: 4610 Magnolia Dr,Ft Pierce, FL. 34982
Legal Description:
Property Tax ID#:.3402-605-0020=000-6 Lot No.
Site.Plan Name: Block No.
Project Name: Indian River Estates
Setbacks Front Back: Right Side: Left Side:
DETAILEDDESCRIPTIO`NCtOF
move supply;and waste line for-toilet
K 'J1ro�ietr G �:w. c ^, �� $.a j d x rk • .c
"M`ATIr
Additional wor:to bp:nprtormed under this permit-check a appy:
HVAC _Gas Tank ❑Gas Piping _Shutters LI.Windows/Doors
Electric Plumbing Sprinklers ,.Generator Roof Roof Pitch
Total:Sq.:Ft of Construction: I3 if S . Ft.of First Floor:
Cost of Construction:$ 1000.00 Utilities:0Sewer OSeptic Building Height:
k .,�,
OWNER" LES
SEE CONTRACTOR
Name Douglas J Lane Name: Eric Robbins
Address;4610-Magnolia Dr. Company:Favorite Plumbing,,Inc.
City Ff Pierce ;State:FL Add.ressi 1293 NE South St
Zip Code;`34982 Fax: Clty .Jensen'B,each State:FL
Phone No.(772)359-8547 Zip Code: 34957 Fax:
'E-Mail:: PhoneW (772)209=21'54
Fill in feesimple Title Holder on next page(if-different E.Mail: a . {47
fromthe>Owneriisted above) State' County License: Fiorida 0066760
If value of construction is$2500 or rriore,,a RECORDED Notice of'Commencement is required.
SUPPEEMENTALtCONSTRUCTI'0 LIEIN WINFO
MM PION'
� . .r
DESIGNER/ENGINEER:- _Not Applicable MORTGAGECOMPANYc Not Applicable
Name Name:
Address: Address:
City:, State: City.• _ State:
p: oTip,
. .: Phone•
Zt Phone ,:
FEE SIMPLE`:TITLE HOLDER: _Not Applicable 'BONDING COMPANYc • _Not Applicable
Name: `Name:. _
Address: Address:
City: Clty: .
Zip:, :Phone::. Zip._ Phor e
OWNER/CONTRACTOR AF,FIDVIT:Application is hereby ma.de•to obtain a pe.r.'njit;to clothe work and'installation<as indicated.
I certify that no:work or instal lation.has;commenced,prior to the Issuance of a permit.
It
Lucie County'makes no representation,that is granting a:permtt will authorize the;"permit holderto build the subject structure
which is-in'con lictwith'any applicable,Home Owners Association rules,bylaws or and covenants that'may:restrictor'prohibit such
structure.Please consulf:with your Home•Owners Association a.nd review your deed for.any restrictions which may,apply.
Iri consideratiori•of the granting of'this r.,equested'permit,I do hereby agree that I`will in all.respects,perform,the'Work .
in accordance with the:approved,plans,'the Floridar:Building Godes and St:>Lucie County.Amendment's,: .
The-.following,bu'ildirigtpermit.applicationsare-exemptfrorri undergoing a full concurrency review::room,addifions;,_
accessory structures;swimmingpools,fences,.walls,sgns,`screen;rooms:and accessory uses to anotfer,non-residental,use,
I
WARNING
TOt 'Oo oER propefatlure to Record a.Notice of:Commencemer t may:result rn;your pa:ying;tiwce for
rty.A Notice of Commencement must be recorded and.posted on the jobsite
before the first inspection..I f you intend.to:obtain financ)ng,consult with-lender or an'attorney before
i Comrhehclh 'WOrk:Or recordin 6'.Ur Notice of'Commencement.
Signature.of Owner/Lessee/Corifractor'as Agentifor 9wher Signature of Con`tractor/L'icense Holder
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STATE OF FLORIDA.. ,STATE OF FLO'Rlq -
`COUNTY OFCOUNTY OF `
The-f r'oing msfru ent wasack: wledged yefore,me 7he:forgoinginstrument-was,-acka'owledgetl efor#r66 .
this day of: 20 'by this day of; .16/ by
Namd of perso hiaking."statement Name of person" kin&statement
Personally own, w .Produced ldenfif_icatior- Personally Knowri OR Pro uced Identification
_Type ofa ificafion Type of`Idenp ic" on
Pro" Produced
F
Signa 0-11Ta i ature o " i S t
tir m A IES JR
o ,Oommissiogg G 243782 , �raYe a �! K;
Commission No _ ° nission EA7,1 1 2022 c mon N o ssion#d `�4`�t62,
y ;Bonded Through Cynenotaryin Commission Expires 07,31=2022
oFF�o� Florida-:Notary Public '�oFF4o�° BonFlo"rTaiough Cynanote "
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW -REVIEW REVIEW
.PATE
'RECEIVED
DATE;,
.tCQPLETED: