HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
lagal
Building Permit Applicatio NOV OV
9 2018
Planning and Development Services ST, Lucle Cguntyf P@rM1t;;1n9
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 15362 Navion Dr. Port St. Lucie, FL 34987
Legal Description: TREASURE COAST AIRPARK LOT 96(4.96 AC)(OR2065-928).
Property Tax ID#: 4224-501-0096-000-7 Lot No.96
Site Plan Name: Block No.
Project Name: Barry Peal
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
�PJ S7&L. LEG I(Lt G G(L C�2� 1//I DTt,12 i D �d lL�UeYJ SHvlr(51RS.
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit—check a appy:
HVAC Gas Tank E]Gas Piping Shutters Windows/Doors
Electric 0 Plumbing Sprinklers FIGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1 kou-4 Utilities:i Sewer OSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Barry Peal Name: Dennis Smith
Address:15362 Navion Dr Company: Heavenly Enterprises, LLC
City: Port St. Lucie State:FL Address: 5332 Victoria Circle
Zip Code: 34987 Fax: City: West Palm BEACH State:FL
Phone No.772-465-0953 Zip Code: 33409 Fax:
E-Mail:SKYCAPTAINPE.AL@GMAIL.COM Phone No. 561-229-0048
Fill in fee simple Title Holder on next page(if different E-Mail: ysarzuela(gstormsmartse.com
from the Owner listed above) State or County License: EC13007644
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:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:5332yict°ria circle 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 thepermit 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, co ult with lender or an attorney before
commefiting work or rqcordipg your Notice of Commenceme
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Sign atu a of Owner/L s e/Contractor as Agent for Owner Signature of Contrar?l%c_o4sdrFToIder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF POArn 4f CLC_h
The f jgg instrument was acknowledggd,before me The for�Q. g instrument was acknowledge before me
thisLdayof �OVY'X�1 P.1� .201�_j by this •dayof �l2rf`f1b&K.20_M by
Name of person aking statement Name of per onaking statement
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced Pro ed
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( gnature of Notary Public-State Notary Public-Sta of.�,{f by,) LIGIA R.HAR Y
LIBIA R. ARDY :'� ry, Notary Public-State I lorida
[� -.�PA�P` =• Commission#FF 5 59
Commission No. �� —1�J�� ?r°. L,-Notary Public-S aCa�igtA#o No. al)
Commission a FF 952659 ��:�+,� 'y Comm.Expires Ma ,1 ,2020
.My Comm.ExoirN5 May 12,2020 ���� ��� ` Bonded through National ;Assn.
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REVIEWS FRONT ZONING' �' SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17