HomeMy WebLinkAboutBuilding Permit ApplicationDESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Applicable
_Not
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address: 479 Newfound Harbor Drive
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 bylaws
rules, 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
be ore the first inspection. If you intend to obtain financing .co sult wi lender or an attorney before
C, mm nein work or cordin our Notice of Commencen�e .
Signa r o Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 3reoxA
COUNTY OF 6revard
The forgoing instru �ent was acknowledged before me
this day of
The for oing instrument was acknowledged before me
-berCR.rniner
—1ZgCemr, 20 I? by
this day of 2013 by
l cxb O I CQ S
_ Vi J'C cr —Tor
Name of persomaking statement
Personally Known
Name of person making statement
V OR Produced Identification
Personally Known x OR Produced Identification N/A
Type of Identification
Type of Identification
Produced
Produced N/A
(Signature o o ary Public- State of Florida)
(Signature o o ary Publi Si# Florida) CAROLINEWILU
Commission No. ���
o',
2�� °" MY COMMISSION#FF 972745
Commission FF 972745 "• o- !� March 20,2020
ssion No. a; P;
MY COMMISSION # FF 972745
Bonder h+N Public Underwriters
: E%PIRES: Ms" 20, 2020
T 06ndefwritera
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 7606 Deland Avenue
Legal Description: Lakewood park Unit 6- blk 67 lot 2
Property Tax ID #: 1301-606-0171-000-6
Site Plan Name:
Project Name: 7606 Deland Avenue
Setbacks Front Back: Right Side: Left Side:
Replace Garage door
Lot No. 2
Block No. 67
Aaaitional work to be orme un er t is permit – check a appy:
HVAC LJ Gas Tank ❑Gas Piping MGenerator
Shutters Windows Doors
El aElectric0 Plumbing Sprinklers F]Roof
Total Sq. Ft of Construction: S. Ft. of First Floor:
Cost of Construction: 889.00 Utilitiesli Sewer 0Septic Building Height: —
Name HRJS, LLC
Address: 1403 Valencia Avenue
City: Fort Pierce State: FL
Zip Code: 34946 Fax:
Phone No. 772-461-8430
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Victor Torres
Company: Construct It, Inc.
Address: 479 Newfound Harbor Drive
City: Merritt Island
Zip Code: 32852 Fax:
Phone No. 321-514-3425
E -Mail: willic64@gmail.com
State or County License: CGC1525451
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Roof pitch
State: FL