HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
r
Budding 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: To Select from dropbox, click arrow at the end of line
NT LOCATION:
Address: 15327 SKYKING DR
Legal Description: TREASURE COAST AIRPARK LOT 85 (2.29 AC)
Property Tax ID #: 4224-501-0085-000-7
Site Plan Name: Skyking
Project Name: Moran Skyking
Setbacks Front Back; Right Side:
DETAILED DESCRIPTION of WORK:
Temporary Underground power pole
CONSTRUCTION INFORMATION:
Additional work toe verfoime un er t is permit — c ec a
OHVAC Gas Tank []Gas Piping
LJ Electric ED Plumbing OSprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 600
0'W N ER/LESSEE:
3805-1197)
Lot No. 85
Block No.
Left Side:
Shutters Windows/Doors
Generator Roof
S Ft. of First Floor:
Utilities Sewer 0 Septic
Name John R Moran
Address: 13307 Polo Club RD Apt C107
City: Wellington State: FL
Zip Code: 33414 Fax:
Phone No.
r•_nna�l-
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Hemp- Donald B Green --
Roof pitch
Company: Don Green Electric LLC
Address: 1305 W 1st St
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-418-5739
E -Mail: dongreenelectric@gmaii.com
State or County License: EC13007447
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
9� Not Applicable
Address:
Address:
COUNTY OF MARTIN
City: State:
Zip: Phone _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: 3, Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
Name of person making statement
City:
City:
Type of Identification
Zip: Phone:
Zip: Phone:
Pre
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 ape rmit 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
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Signature of Contractor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTIN
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 18th day of 20� by
this 18th day of VW r- 20_L3 by
DONALD B GREEN
DONALD B GREEN
Name of person making statement
Name of person making statement
Personally Known x OR Produced identification
Personally Known x OR Produced identification
Type of Identification
Type of Identification
P oduc
t
Pre
(Si nat a of Notary Pu i �o
(Sig ur of Notary Public- Stat, I ri a
OFF�
E es
Commission No. C��
CommiSSqq��
Commission No. MyCommi�'l pplre.
Januar 5, iii
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev, 8/2/17