HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Residential X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 13827 S INDIAN RIVER DR 32
Legal Description: LAKE MANOR PARK COOPERATIVE SITE32 (OR 4104-341)
Property Tax ID #: 4509-805-0032-000-8 Lot No.
Site Plan Name: Oechslin Block No.
Project Name: Oechslin
Setbacks Front_ Back Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Need to power off meter banks and install unistrut and re -anchor existing meters to unistrut - Change
out damaged disconnect
CONSTRUCTION INFORMATION:
Additional work to Tir
ome un er t is perm1t—c13HVAC GasTank ❑Gas Piping
RiElectric Q Plumbing Sprinklers
Total Sq. Ft of Construction: 1059
Cost of Construction. $ 2030
0NN.Y-
Shutters Windows/Doors
Generator ORoof Roof pitch
S . Ft. of First Floor: 1059
Utilities.- 0 Sewer Septic Building Height:
OWNER/LESSEE:
Name Charlotte Oechslin
Address:13827 S Indian River DR Lot 58
City: Jensen Beach State: F
Zip Code: 34957 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: Donald B Green
Company: Don Green Electric LLC
Address: 1305 W 1st Street
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No, 772418-5739
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 App
Name:_
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip:-----
Phone:
Not Applicable
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 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
cornmencinR work or recording our Notice of Commencement. A
Signature of Owner/ Lessee/ContractAsge=tforOwner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The fo of instrum t as ac nowledge efore me
this ay of 20 . J by
Name of person making statement
Personally known X OR Produced Identification
TvoeAf identification _ ,l
REVIEWS
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
otaryYublic- State of €forida )
My Commission Expires
January 5.2020
FRONT ZONING
COUNTER REVIEW
STATE OF FLORIDA
COUNTY OF_MAr2TIN
Th 'ng instrume as a knowledg fare me
thi ay of 20 by
� C
Name of person making statement
Personally Known x OR Produced identification
Type of identification
Cam
No.
SUPERVISOR I PLANS 1 VEGETATION
REVIEW REVIEW REVIEW
Commission 2
Commissi�r�es
January 5.2020
SEA TURTLE I MANGROVE
REVIEW REVIEW