HomeMy WebLinkAboutBuilding Permit Application To:Saint Lucie County Page 2 of 4 2019-02-27 20:13:05(GMT) 18666845854 From:Scott Hixon
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
AnaDate:. �"�� ' +-1 Permit Number
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue,Fort Pierce FL 34982
i Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential. X
1[:PERMIT*APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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s i.... .Address: 19 Madrid Lane,Port Saint Lucie,FL.,34952
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Legal Description: ST LUCIE GARDENS 26 36 40 BILKS AND 2 LYG ELY OF US#1 R/W-LESS RD RS/WAND LESS
Property Tax ID#:::. 3414:501-1701-000-9.. Lot No.
Site Plan Name: Block No..
Project Name: Brunt
Setbacks. Front Back: Right`_SidE:. _� L+jft:5ide::;�
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I ' • .. u � .�.\.Vit, " 21 �t `.�a �,�-.1 l`•t�r ?',.1'� d- _:� +. 4 ���. r" -i..
A.C, Change out NO duct work
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OditiQnal work to bj-_Oeltorm-ed un r t its-permit' c ee .a " appy:
HVAC -- Gas Tank �Ggs`Piping _Shutters [].Windows/Doors
Electric O.Plumbing ❑Sprinklers ..Generator `Roof � Roof pitch
Total Sq.Ft of Construction: - So. Ft.of FirstF`;isi;
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Cost of Construction:$ 3496.00 Utilities: Sewer.L J Septic Building Height:
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Name.Ralph Brunt Name: W.S.Hixon
( Address: 19 Madrid Lane . Company:'Air Plus j
City: Port Saint Lucie State: FL Address: 3261 Se Slater Dr
Zip Code: 34952 Fax: _ € City: Stuart State: FL
j I: Phone No. Zip Code: . 34997 Fax: 866�68.4�5854
3 E-Mail: Phone No..772-486-2002
Fill in fee simple Title Holder on next page.(if different i E-Mail:_airpJusfl.na yahoo,rOm--_-
from the Owner listed above) I State or County License: CAC1816064
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
To:Saint Lucie County Page 3 of 4 2019-02-27 20:13:05(GMT) 18666845854 From:Scott Hixon
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: ,_Not Applicable
Name: ` Name:
Address: _ _.. .
.... �Address:. '
City: State;.. Cit
y:.._... . .. State,:
Zip:.. Phone: Zip::.. Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable ] BONDING COMPANY: X Not Applicable
Name: s Name:
Address:. Address:.
City.. ,.._, .. .. . .: y.. ...
Cit ..
Zip: Phone; Zip; Phone;
I certify that no work or installation has commenced prior to the issuance of a permit.
�si:;lvcii?Ci3uiity°tttakes iid.representation that is granting a per n.1t:willauihoriae.-'t' ,,er�nfi.holderto build4hesub"Pittstructure
w(7It1�is I onfI iviCh any dppiicable Home Owners Assoccati6i1 rules,:bylaws:orr.anscovenants.that rnay:f strict iar_prohibitsuch
structure.Please c hW,w€th16ur Home Owners Association and reviL�W.your deed fgr.b6.'rest- tians.wh+el3.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
commencinw,ork or recordiiti :�our Notice of Commencement.___
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Signature of OWrrer/Less e:Cpn;raettiras Agrit:fuf Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF Martin
The forgoing instrument was acknowledged before me , The forgoing instrument was acknowledged before me
this 27 day of i ebiva ; 20 this 27 dayor.- _ _Fahruat%f _ ,20 E by
W.S.Hixonl
(Name of pers n', 7 Mel f p rsdrrc Qwfedg }
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(5igi:ature `Notary p.vKII,r v�¢ igi ature o r.."tary Pulow
t "of kT
Personally Known X OR Pro t! Personally Known X OR
Type of Identification Produced �' �' or.P��je Type of Identification Produced 0 6
Commission No. GG 243228 (Sea Commission No. GG 243228
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Revised 07/1512014
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REVIEWS FRONT ZONING SUPERVISOR, : PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS