HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
C�[.INTY
F
L V R [. D A
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
Legal Description: See attached
Property Tax ID #: 2427-601-0060-000-0
Site Plan Name: Windsong Mobile Village
Project Name: Windsong Mobile Village
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side:
Build200 AMP stand alone service and connect to home
CONSTRUCTION INFORMATION:
rtiona work to be nerformed under this permit - c
[:IHVAC Gus Tank �G«; Piping
Z✓ Electric ❑ Plumbing Sprinklers
Total Sq. Ft of Construction: �_ P 1 A
Cost of Construction: $ 1500
Lot No. -
Block No.
Left Side:
IN:
J Shz!tt
Generator
S Ft. of First Floor: _
Utilities:T]Sewer ElSeptic
OWNER/LESSEE:
Name Windsong Owner LLC
Address: 1750 S Telegraph Rd 1110E
City: Bloomfield Hills State: MI
Zip Code: 48302 Fax:
Phone No,�--
E-Mail: -
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Roof
Building Height:
Roof pitch
State: FL
Zip Code: 34982 Fax: - _—
Phorre No. 772-418- 739
E-Mail: donareenelectricl?gmaii.coni
State or County License: EC13007447
Name: Donald B Green
Company: Don Green Electric LLG
Address: 1305 W 1st Street
City: Fort Pierce -
MARAVILLA GARDENS S/D-UNIT THREE- PART OF LOTS 180 TO 183 INC MPDAF; FROM NW COR
LOT 183 RUN E ALG N L€ 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 R/W LI S MAYFLOWER RD, TH N ALG SD E R/W 522.67 FT,
TH ` 135 FT, TH N 75 FT, TH Vvl 135 FT TO AFORESAID E R/W, TH N ALG SD E R"w 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:
Rhone State:
Zip:
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
comme in work or recordin our Notice of Commencement.
Signature of Owner/ Lessee/Contractor s Agent for Owner Signature of Contractor/License Hol er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OF MARTIN
Th oing instru nt was acknowledge ¢ before me The f ping instr m as acknow ,Eiged%ore me
thi a of y this +ay of�p
DONALD 8 GREEN DONALD B GREEN
Name of person making statement
Personally Known X OR Produced Id(
Commission No. (Seal)
REVIEWS I FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
REV[
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
PLANS I VEGETATIO
REVIEW REVIEW
POMMIssion
REVIEW � REVIEW