HomeMy WebLinkAboutRogerspermitappFOR APPLICATION TO BE ACCEPTED
Permit Number:
ps1q. '12l19i2018
Building Permit APPlication
Plonning and Development Services
Buitdini and Code Regulation Division
iiioo irgini, Avenue, Fort Pierce FL 34982
;;;;;, -itz) qoz-ts53 Fax: (7721462-1s78 Commercial-Residential x
Address: 495 P"li"r" Sh"rl
Legal Descrip,lon. iROptcRL tsLes (on zzse-ztog) uNtr c-zo (oR zag+-za0s)
Property Tax lD g' 3410-508-0173-000-0 Lot No.-
Site Plan Name:Block No.
Project Name:
Setbacks Front-Back:
-
Right Side: Left Side:
4.0 Ton 14 SEER Package Unit
1 0 KW Heat
Like for Like
er tnrs permrt -apply:
l-l *,noo*s/DoorsVIHVAC
Electric tr_
Gas Tank
Plumbing
num Piping
Esprint<ters
Shutters
Generator
Total Sq. Ft of Construction:So. Ft. of First Floor:
utitities:Er"*", Et"*Cost of Construction: $ 6556'oo
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
PERMIT APPLTATIoN FOR: To Select from dropbox' click arrow at the end of line
Name: Robert Marcelle
Address: 664 NW Enterprise Dr. Unit 120
City: Port Saint Lucie State:Fl
phone 11e. 772-873-3000
E-Mail : ckongerl 4@gmail.com
State or county License: cAc1814439
Address:495 Pelican Shoal Pl
City: Fort Pierce State:Fl
phone 11s.772466-8715
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
rmittodotheworkandinStallationasindicated.
lcertifythatnoworkorinstal.lationhascommencedpriortotheissuanceofapermit.- r^ h,,ili tho cr rhiert ctrllctufeI CgrIlIy LIIdL I lu wvr N vr
Itni..till;.Ut t*fii"i.Trr::,"ii#3ilHh}5i1i13:"iilt':+il;i1#,;aui',3i"Tfl:i#ii!'lg,"llilfrdii!r"fT$il{iii:t1t""
ln 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 .;;;;;:i;i;;', tri" iiotialii,iiJine cou"t tno st' Lucie Countv 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 mav resultii r":[8;'Jlt [:'jTJll.improvements to y"ri'ni6O-e.tV. If.l"tiie-of Commencement must be recorded at
before the first inspection. tf you intend i;;;lqi; finrnline, .oniuit *ithlender or an attorney before
."-mlncine work'or recording your Notice of Commencemenl
Rev.8l2lt7
STATE
Personally Known OR Produced ldentification
edgel before me
zollS bv
er/ Lessee/Contractor as Agent for Owner
STATE
Name of person making statement
Personally Known OR Produced ldentification
Type of I de"Xt[ficgtion
Produced Y\ Dft\
(Signature of Notary Public- S
before me
Commission # GG27(SPBIbommission Ext
November 01, 2
e of Notary Public-a )CATHERINE Ml
.State of Florida-Nota
ission # GG
SUPERVISOR
REVIEW
FRONT
COUNTER
SEA TURTLE
REVIEW
DATE
COMPLETED