HomeMy WebLinkAboutBuilding PermitALL 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
PROPOSED IMPROVEMENT LOCATION:
Address: 113 Island Dunes Cove
Legal Description: Lot 6 Las Tortugas at Hutchision Island
Property Tax ID #: 3534-503-0007-000-2
Site Plan Name., Mitchell O'Neil Arch.
Project Name: Ivany Residence
Setbacks Front 25 Back: 15 Right Side: 10 Left Side: 9
DETAILED DESCRIPTION OF WORK:
Application for Temp. Power
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit -check a appy:
HVAC E] Gas Tank ❑Gas Piping `Shutters Q Windows/Doors
;K Electric 0 Plumbing Sprinklers 1:1 Generator 1-1 Roof Roof pitch
Total Sq. Ft of Construction: 5,333
Cost of Construction: $ 100.00
S Ft. of First Floor: 3371
Utilities:ZSewer Septic
Building Height:
OWNERAESSEE:
Name Robert & Marianne
Name: M L % .
Address: 113 Island Dunes Cove
Company: Ci�`LE4CL'iSZ�c�.lr'_
Address: 4,1su SP_ CQ CM 3C✓
City: St Lucie County State:Fl
Zip Code: Fax:
Phone No.
City: S`CUc�4Z� State: A
Zip Code: �` � Fax:JS -
Phone No. d9z9 - L 93
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: =_ ,c6ecir-N t (�Lf?�
e CC0.S'i
State or County License: E_C--C_X-_PQD(oS
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Mitchell O'Neil Arch
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 947 N. AIA Suite C
Address:
City: Jupiter Fl. State: n
Zip: 33477 Phone 561-746-1119
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 611 SE Palm Beech Rd,.
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, consult with lender or an attorney before
commencine work or recording vour Notice of Commencement.
Rev. 8/2/17
Signature of Owner/ Lessee/Contractor as Aget r -..Owner
i Contractor/License Holder
i�
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFA^
COUNTY OF —
\
The forgoing instrument was acknowledged' efore me
The forgoing instrument was
acknowledged before me
this 10 day of January 20_ by
this 10 day of "r
20_ by
COY
Name of person making stateme t
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x
OR Produced Identification _--
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Pub of FloridaJEBBIE B. SARIN
(Signature of Notary Ptibili - Sta f Florida )
Notary Public -State of Florida
Commission No. s ` Q6rr 61,ona00069314
Commission No.
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Comm. Expires May 30, 2021
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Rev. 8/2/17