HomeMy WebLinkAboutBuilding Permit Application 12/26/2018 WED 10: 47 FAx IZJ004/007
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Rate: IQ-a CO.—L$ Permit Number: I ic/i a' 0
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Building Permit Application ,
Planning and DeVeloprent Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial _ Residential xxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 7814 LONG COVE WAY
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Legal Description: RESERVE PLANTATION-PHASE IIA-LOT 81 j
Property Tax ID#: 3321-603-0085-000-9 Lot No.
Site Plan Name; Block No,
Project Name: John F Francis
Setbacks Front Back: Right Side: Left Side:
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'..r Iona wor o • orme• unser is perm --c ec a i. appy:
LIJ HVAC Gas Tank nGas Piping MI Shutters Q Windows/Doors
0 Electric 0 Plumbing ❑Sprinklers ❑Generator L=1 Roof L Roof pitch
Total Sq. Ft,of Construction: S . Ft.of;FIrst F,lo{or:
Cost of Construction:$ (0,51 4-07.)sr'•~7 ._ Utilities: Sewer l'_I•5eptfc Building Height:
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NameJohn F Francis - Name; Jeffrey Lindstrom
Address:7814 LONG COVE WAY Company: Lindstrom Air Conditioner '
City: Port St Lucie I State: Fl Address: 3581 W MoNeb Rd
Zip Code: 34986 I Fax: City: Pompano Beath State:Fl
Phone No.954-562-3292 _ Zip Code; 33069 Fax;
E-Mail: 1 Phone No.
772-600-4088
Fill in fee simple Title Holder on next page(if different E-mail: dulcem@lindstromair.com
from the Owner listed above) State or County License: CAC055971
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
12/26/2018 WED 10: 47 FAX E10015/007
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DESIGNER •ENGINEER; _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: _ Name: I
Address: _ Address:
City: State; City: _ _ State: I
Zip; Phone Zip: Phone:-_- 1
-„ i
FEE SIMPLE TITLE HOLDER; Not Applicable BONDING COMPANY: _Not Applicable 1
Name: Name: �
Address;3581 W McNeb Rd Address: I
City: - City:
Zip: Phone: Zip: Phone: I
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 I
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. I
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 stru -s,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential Use
WARNIN e TO 0 NER:Your failure to Record a Notice of Comme e ent may result in your paying twice for
improve. ents . yo r property. A Notice of Commencement ► ust 0e recorded and posted on the jobsite
before a first nsp/ction. If you intend to obtain financing, •nsul. with I rider attorney before
commencing o •r retcordin�y. lal ice of Commencem-nt.
Z. _ i
Sig Orr r- •f Owner/Lessee/Contractor as Agent for Owner Signa ffe of Contractor/License Holder I
I
ST• t OF FLORIDA ST. E OF FLORIDA
COi NTY OF COUNTY OF I,
The going Inst . ment wa a knowledge�,before me The aoing Instr ment was - kno ledged before me
this 1 dey of °i r_:` o • by thi a day o ,• , , Ail ,1,A ,20 by
1
i?
Name of person ma ing stall ent Name of p r on makln.. statement
Personally Known AA/.OR Produced Identlflcas, Personally Known OR Produced Identification
Type of Identification rr pgLCEM �03g91 Type of Identification
Produced ...u°ir }mesion#04 Produced yvPi DULCEMARTINEa
` heeMaY40�20Zt' it'
ExP sr+ Commbelen#00403391
e” °'
'1-'4^
� 7 A 'i 7- ¢,,;,. • D Des Mey 40,2024
y4ori�� ,I'PFOFt�(f`' wall=
(Signature of Notary Public-State of Florida) (Signature of Notary Public-state of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT I ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER I REVIEW REVIEW REVIEW REVIEW REVIEW , REVIEW
DATE •
RECEIVED
DATE '
COMPLETED
Rev. 8/2/17