HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: , l a--(WUIO
i,
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)462-1578 Commercial . Residential
PERMIT APPLICATION FOR:
I
OHM
ROUEMfNT I=TM.
A
Address: ,� 49� �j�r��J�'llci�or�' .D/L-
Legal Description: J�� �y�ui�c>� P/z-- rS-4-7�Gf-s Y /3/oc/z, e Z o V L
Property Tax ID#:O(40 1 'D I -MW-CQy .Lot No. 2-
Site
Site Plan Name: Block No. L
Project Name:
Setbacks Front Back: Right Side: Left Side:
DET ILED 13fxSC 1PTION OF N,0RK.
A - �s�r/� ��P�ak 230 ' e���G��/.�,�
•' RiUCT(0 )NFQR�M IO
Additional work to be peFFormed under this permit-check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing —Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Constructiio/ppgn Sq. Ft.of First Floor:!'� -
Cost of Construction:,$� 1 '� Utilities: _Sewer."':_Septic,f "Building Height:
; T
MNIRA OR;
Name Glii l o Name:
Address: C�4/ s �12G�G! k,4&e/` 1-2 Company:12.3'P `C�
City: -Pal i State:EL Address: ??/
Zip Code:3 W y 7 Fax: City: z2>2a P/fix C'!f- Stated
Phone No. ? ? Z - D/ -&V$L Zip Code: 3 4,i y 7 Fax:
E-Mail: Phone No 772- 216 /i97 Y
Fill in fee simple Title Holder on next page(if different E-Mail pD21� &4%S
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
S F LEMENT L CONSTR�II'Cl`10N 1.1 N' Lp►W 1N �aRMATION:
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: 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 our Notice of Commencement.
Signature of ner/Lessee/C o-ntractclrr as Agent for Owner Signature of C ntractor/License Holde
STATE OF FLO A STATE OF FLORIDA
COUNTY OF - COUNTY OF
The forgoing instrument w cl ledged before me The for oin instrument was a knowled a efore me
this U day of Q. � 20 C byDt�q�- this � day of � 201•�by
Cy 'a N,_�V>
Name of person king statement. Name of person m kin statement.
Personally Known- _OR-P-ro d-Identificati -- Personally Known -- OR Produced entification
Type of Id tNati n Type of Identificat' n
Produced RAvrA ROYD Produced
'�` A-IN,
Notary Public,State of F 2056S6 A M. BOYD
Commission No.FF �;: Notary Public,State of 4ida
My April 1,2019
i` M Comm. p J +p�; Commission No.FF 205666
.Y• P:
(Signature of Notary
PG6T`c- tate of Florida) (Signature of Not;m - obi r 19
Commission No. ;�()"�LVLPLp (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
BOUNDARY
SURVEY
ROSEWOOD DRIVE
60' PLATTED RIGHT-OF-WAY
ASPHALT ROADWAY
N89'56'30"E 118.11'
PT O 0 5/B'IRON ROD EASEMENT FND 5/B'IRON ROD
z &CAP LB f5Sa9 h, NO NUMBER
---- ------ -----
OONCREIE
GRAPHIC SCAIE SLOOP lk A/C I /`
0 15 - 30 1
PC -_•_ __-..�-- 37.3' CD
FND A CAP IRON0D LB 9 , `?l,, OONtW- ic= \ + O
P . LOT 2 �l `—
} BLOCK C
ac`ni FOR $
Ow 7.o��
o >-
I o ( I LOT 3
®QC.D ( , " C5 BLOCK C
a
160' N
N ( s' =tom SINGLE STORY to-
-� Lo o WOOD FRAMED N
o_ ( a RESIDENCE #204 O
O O
to
_ cn z 5 ( WAIM a A/C
m �.� I ELECTRIC BOX IS
Sgr ER .lB61GA1iON_.— ___ _ I _ 1.5N R LO'E
V UTRM EASEMENT PUMP
tTRD AA IRON ROD
N0"`�'� S89'56'30"W 143.00', FND 51W IRON ROD
NO NWlBER
I
LOT 1
BLOCK C TRACT"A"
O x=91'14'11"(M)
R=25.00' FIELD DATE 10/21/03
ADDRESS
L=39.81'(M) 39-tw(P) DRAFTER:BEK
204 SANDALWOOD DRE
IV
APPROVED:GKB
CB=S44 20'45"W FORT PIERCE,FLORIDA 34947
C=35.73' LEGAL DESCRIPTION:(AS FURNISHED) SCALE:1"=30'
LOT 2 BLOCK C. SANDELWOOD ESTATES SUBDIVISION, ACCORDING TO THE PLAT THEREOF,
AS RECORDED IN PLAT BOOK 20, PAGE 5, OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA
SURVEYOR INFORMATION DATE REVISION COORDINATED BY., PREPARED FOR
\ES1DENTLAT
LAND SERVICES,INC.
BASIS OF BEARINGS 2230 McKOWEN DRIVE
BEARINGS SHOWN HEREON ARE BASED ON NORMAN,OKLAHOMA 73072
THE EASTERLY LINE OF LOT 2 BLOCK C FAX(405)701-I O27
BEING N 00.11'52•E.PER PLAT. PHONE:(405)A _ LOQ JOB ORDER NUMBER
CLIENT REFERENCE NO 1083-355134 WWW.RLSNOW-COM RLS 03-10-0613
AMERICAN SURVEYING&MAPPING LEGEND
3w ctv( , ' AIGAIRCONDITIONf]tTYP--MtiSONar SURVEYOR'S CERTIFICATE
MAHM RaWA d709t A.P.O�AF'ORTWN OF nD:NAILANIsc,
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