HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
i
L
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 S 7th ST i L
Legal Description: See attached
Property Tax ID #: 427-601-0060-000-0 Lot No.
Site Plan Name: Windsong Mobile Village Block No.
Project Name:.Windsong Mobile Village
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Build200 AMP stand alone service and connect to home
CONSTRUCTION INFORMATION:
Additional WOM to eej orme un er t is permit _ c
11HVAC L.J. Gas Tan!: �C��c I+i,...., .
i' V
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: f1
Cost of Construction: $ 1500
OWNER/LESSEE:
Name Windsong Owner LLC
a
L,-5r r�(
apply..
Generator Roof Roof pitch
Sq. Ft. of First Floor: _
Utilities:Sewer Septic
Address: 1750 S Telegraph Rd 11.106
City: Bloomfield Hills State: Ml
Zip Code: 48302 Fax:
Phone
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name: Donald B Green
Company: Ikon Gre.eri Electric LLC
Address: 1305 W 1st Street
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.77L�18-5739
E-Mail: dongreenelectric@gmaii.com
State or County License: EC13007447
MARAVILLA GARDENS SID-UNIT THREE- PART OF LOTS 180 TO 183 INC MPDAF: FROM NW COR
LOT 183 RUN E ALG N LI LOT 183 562.1 FT, T� ; S 85 FT, TH E 140 FT, TH S 177 FT, TH E 257 FT, TH
S 238 FT, TH W 92 FT, TH S 50 FT, TH E 5 FT, TH S 75 FT, TH W 182.18 FT, TH S 200 FT, TH E 25.4
FT, TH S 322.7FT, TH W 730.67 FT TO E R/W LI S MAYFLOWER RD, TH N ALG SD E RIW 522.67 FT,
TH E 135 FT, TH, N 75 FT, TH W 135 FT TO AFORESAID E R 01, TH N ALG SD E R; A' 550.34 FT TO
POS (OR 3855-1410)
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:
f11AlAIC6ll'f1wsOw/T/11d w��.•�►•.r_ .
_ ... 1 vv... 1 vn PM1rr1vY1 1. /App„canon is nereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counter 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 Ipnrlpr nr nn nttnrn&%, k,m;^ro
.commencing worK or recordin your Notice of Commencement
AA
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF MARTIN
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The f oing instru va s ackn [edged before me
thi f 4 ay of o 20-/0 by
DONALD B GREEN
Name of person making statement
finally Known x OR Produced Identification
of Identification
of Notary Public- State of
mission No.
Commission #FF948042
My Commission Expires
Ianuary 5, 2020
The r oing instr ent was acknowledge5lefore me
this day of �} 0 by
DONALD B GREEN
Name of person making statement
Personally Known X
OR Produced identification
Type 9f Identification
Prod d
IU&
(Sign re o
Notary Pu
I ri a
.*RY.PVe JOY CHRISTINE COPELAND
Commission
o.
Commis{�@ F948042
My Comrhrssron Expires
January 5, 2020
REVIEWS FRONT I ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17