HomeMy WebLinkAboutBuilding Permit ApplicaitonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COU NTY
F. L O
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 —7
Legal Description: See attached
Property Tax ID #: 2427-501-0060-000-0
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:
�t�ona war to 6e e orme un er t is permit — c ec a
0HVAC Gas Taal; 0 G a s Pipir-
Electric Plumbing Sprinklers
Total Sq. Ft of Construction: P%
Cost of Construction: $ 1500
OWNER/LESSEE:
Name Windsong Owner LLC
L-DT -� ("
4huttcrS [11M;,nd �•,c/ .s,,�s
Generator 0 Roof Roof pitch
S Ft. of First Floor: _
Utilities:0Sewer ❑Septic
Address: 1750 S Telegraph Rd if100 --
City: Bloomfield Hills State: MI
Zip Code: 48302 Fax:
Phone
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
R;-
CONTRACTOR:
Building Height:
Name- Donald B Green
Company: Dot) Crt;�,j I-lcCITI LLC --
Address: 1305 W 1st Street
City: Fort Pierce State: FL
Zip Code: 34982 _Y - Fax:
Phone No. 7T2a4�15 - T7 9'
E-Mail: dongreenelectricc@gmail.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 LE LOT 183 562.1 FT, TH 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 R1W 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 WIPJ, TH N ALG SD E RlW 550.34 FT TO
POB (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:
fflAliU�D/rn[uTnwrrns wer,r-1„r_ .
-- • -.•I ---•- ..-�-- ■ -ri- r%VV6L#VI I. /Appacation 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
commengpg work or recordin our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agen for Owner
STATE OF FLORIDA
COUNTY OF MARTIN
The f rgoing instru e t was acknowledged before me
this day of ZU"by
DONALD B GREEN
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
re of (Votary Public- State of
Commission No.
REVIEWS I FRONT I ZONING
J COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The f rgoing inst u t was ackn ledged before me
this day of 20��by
DONALD B GREEN
Name of person making statement
Personally Known X OR Produced Identification
TypeRf Identification
nary Moblic- State of Florida '
Y 0. JOY CHRIS I IN% COPELAND
Commissjgfi�948042
iWMyCom lsvo Expires
1 Januar 5,2020
SUPERVISOR I PLANS I VEGETATION I SEATREV R LE MREV EWVE
REVIEW REVIEW REVIEW