HomeMy WebLinkAbout6602 Palomar FP unit A and BALL 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
f PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I
PROPOSED IMPROVEMENT LOCATION:
Address: 6602 Palomar Parkway - Unit A and B
Legal Description: LAKEWOOD PARK -UNIT 12-A- BILK 173-A- LOT 13-LESS E 63.71 FT- (MAP 13l13N) (OR
3639-2559; 4115-2046)
Property Tax ID #: 1301-615-0137-100-5
Site Plan Name: Palomar 6602
Project Name: Palomar 6602
Setbacks Front Back: Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
Service change - like for like
CONSTRUCTION INFORMATION:
Additional work to be berforme under tispermit—check all thaappy:
OHVAC Gas Tank ❑Gas Piping 0 Shutters Q Windows/Doors
ZElectric Plumbing OSprinklers 1:1 Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: 2400
Cost of Construction: $ 1500
Scl. Ft. of First Floor: _
Utilities Sewer Ij Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Michael S Conran
Name. Donald B Green
Address:1001 SE Monterey RD
Company: Don Green Electric LLC
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No.
E-Mail:
Address: 1305 W 1st Street
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-418-5739
E-Mail: dongreenelectric@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: EC13007447
If value of construction is $2500 or more, a RLCORL)LU NOUCe 01 moor€ Merscemeres Rs a L14U$1 VU.
SUPPLEMENTAL. CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x 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:
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
commencing work or recording our Notice of Commencement.
of Owner/
#TE OF FLORIDA
LINTY OF MARTIN
as Agent for Owner I Signature: of Contractor/License
f oing instrum t was acknowledged before me
day of 2 :�.' 20Z7 by
B GREEN
T— Name of person making statement
Personally Known X OR Produced Identification
Tvoe of Identification P,
(SiPatire of Notary Public- Stat4 of Florida )
Commission No.
Sea
} nor Ir
Comm
' !ri .Co
.ia
REVIEWS
FRONT
ZONING
COUNTER
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
STATE OF FLORIDA
COUNTY OF MARTIN
Thel going instraien as acknowledgbefore me
this/ day of M 20,Ll by
DONALD B GREEN
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produ&rK n A
(Signa$Fe olNotary Public- State of Rorida )
Commission No.
JPERVISOR PLANS 1 VEGETATION
REVIEW I REVIEW REVIEW
(Seal)
REVIEW I REVIEW