HomeMy WebLinkAboutBuilding permit application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 8/15/2018 Permit Number: `Lz ^ O� C�
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Building Permit Application
Planning and Development Services AUG 16 2017
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: T �
PROPOSED IMPROVEMENT LOCATION:
Address: 2650 Gentile RdFort Pierce, FL 34945
Legal Description: 22 35 39 FROM IN T OF S LI OF N I/40F SE 114 AND E RW GENT ILE RDRUN NILLY ALG SD RMV 131 FT TO POB IH ELY FR943 FT I H NLY 469.24 F1 TO S FM CANAL 49 IH
WLY ALG SD RM 416.19 FT,TH SLY 359.98 FT,TH WLY 271.81 FT TOE R/W GENTILE RD,TH SLY ALG SD RIW109.84 FT TO POB(5.17 AC)(OR 933-1125)
Property Tax ID#: 2322-412-0003-000-1 Lot No.
Site Plan Name: Site Address: 2650 GENTILE RD Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION O 11 F WORK:
Install 12 accordian shutters on first floor windows.
CONSTRUCTION INFORMATION:
Additional work to be Dertormed under this permit—check a appy:
HVAC Gas Tank Gas Piping _ utters ❑Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 6101.13 Utilities:]Sewer l:]Septic Building Height:
OWNER/LESSEECONTRACTOR:
Name t: Name: David Browne
Address: 0A Company: Dave Browne's Home Improvments
City: 'p-� State: Address: 5501 Seagrape Dr
Zip Code: Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34983 Fax:
E-Mail: Phone No. 772-353-0140
Fill in fee simple Title Holder on next page(if different E-Mail: 634983@gmail.com
from the Owner listed above) State or County License: crc1330776
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:David Browne
Address:2650 Gentile RdFort Pierce,FL 34945 Address:
City: State: City: FortPierce State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:5501 Seagrape or Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L COUNTY OF
The forgoing instrum t was acknowledgedb °re me The fing instrument was acknowledged before me
this day of 20__4ibythisday of ]J�— 20 Gt5y
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public- a of Florida) (Signatur of Notary Public-State of F da)
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Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING X315, PLANS VEGETATION SEA TURTLE A,,r
COUNTER REVIEW T:r REVIEW REVIEW REVIEW Rft „
DATE
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