HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 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
Legal Description: See attached
Property Tax ID #_ 2427-601-0060-000-0
Lot No. Q _S
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 wor to 13e o r m e d un Aer t is permit — c
C HVAC j l Gas Ta,n1, 116as Pipin-
it JElectric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: A
Cost of Construction: $ 1500
OWNER/LESSEE:
Name Windsong Owner LLC
Address: 1750 S Telegraph Rd #106
City: Bloomfield Hills
Zip Code: 48302
Phone No.
E-Mail:
Fax:
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OGenerator 0— Roof '� Roof pitch
S Ft. of First Floor: _
Utilities:Sewer Septic
State: MI
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If Value of
CONTRACTOR:
Building Height:
Name: Donald B Green
Company: Don Grccn Elect►ic LLC
Address: 1305 W 1st Street
City: Fort Pierce
Zip Code: 34982Fax:
Phone No. 772 18-573g
E-Mail: dongreenelectric@gmail.com
State or County License: EC13007447
State: FL
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, TH S 85 FT, TH E 140 FT, TH S 477 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, THE 25.4
FT, TH S 322.7FT, TH W 730.67 FT TO E RAN Li S MAYFLOWER RD, TH N ALG SD E RIW 522,67 FT,
THE 135 FT TH N 75 FT, TH W 135 FT TO AFORESAID E RfW, TH N ALG SD E R/W 5K2_ FT TO
POB (OR 3855-1410)
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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
commeUing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF MARTIN
The r oin inst t was a k led a fore me
thi day of 20 y
DONALD B GREEN
Name of person making statement
Personally Known X OR Produced identification
Type of Identification
Notary Public- State of
No.
COfimissif 11�F Cr;
MY commissio FF
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The ping Instrum nt was o e d b f a me
th i y of 00 �y
DONALD B GREEN
Name of person making statement
Personally Known X OR Produced Identification
Type ot4entification
of Notary
Corrinfu'sion N
Florida
,on.#FF948042
My C°mmission Ex ires
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REVIEWS
FRONT
ZONING
SUPER
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17