HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t�
Dater-�`1%W\ Permit Number:
-` -� RECEIVED
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Building Permit Application APR 16 mg
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, raso-Otting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)4624578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED-IMPROVEMENT LOCATION:..
Address: 1513 NW Lancewood Terrace, Palm City, FL 34990
Legal Description: Harbour Ridge-Plat 8-East Hammock Village Unit 6(or 2145-2175)
Property Tax ID#: 4426-803-0016-000-0 Lot No.
Site Plan Name: McGuire Residence Block No.
Project Name: McGuire Residence
Setbacks Front Back: Right Side: Left Side:
',DETAILED DESCRIPTION OF WORK: : cc
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CONSTRUCTION INFORMATION:
Additional wor to (e ne orme under tis permit-checka appy:
HVAC L__I Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Ofl
Cost of Construction:$ '373a Utilities: _Sewer El Septic Building Height:
O,UUNER/LESSEE: CONTRACTOR:
Name Lois&James McGuire Name: Kobe rk-Wt4
Address:1513 NW Lancewood Terrace Company: Aqua Dimensions
City: Palm City State: FL Address: 1651 SW South Macedo Blvd.
Zip Code: 34990 Fax: City: Port St Lucie State: FL
Phone No.561-512-1013 Zip Code: 34984 Fax:
E-Mail:mcguirejnl@gmail.com Phone No. 772-344-8433
Fill in fee simple Title Holder on next page(if different E-Mail: rhondalafferty@aquadimensions.com
from the Owner listed above) State or County License: CFC057526
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL,CONSTRUCTION LIEN`LAW INFORMATION.-
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name' Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 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
commencing work or recording our Notice of Commencemen
C / S
Signature of Owner/Lessee/Contractor as Agent for Owner .,SignatureC a or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFCOUNTY OF St.Lu-L1
The for oing instru nt was acknowledged before me The forgoing instrument was acknowledged before me
this 9Tile
ay of I (.. 20�Wby this I til day of 20 Vi by
(Name of pe ac nowledging) / (Name of person acknowledging)
(Signature of Notary Public-Stfitb of Florida) (Signature of Notary Pu State ok Florida)
Personally Known °' OR Produced Id Personally Known OR Produced Identification
Type of Identification P. ,,,�„ Type of Identificatio Produced
:Co�mm ss on#FF999218 GG 058a`�____ TY
Commission No. e`=Exp1feSti5"d4�2020 Commission No. OND�S )FFIrR
i;;0.p'` Bonded ThruTroyFalnl'sure nceA00.3e5dot9 =��' t_ MY COMMISSION#GG058720
9021
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS