HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a� aO Permit Number:
- RECEIVED
Building Permit Applicat on
Planning and Development Services FEB 2 8 20?0
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resi en la
PERMIT TYPE:SPECIALTY PERMIT
PROPOSED IMPROVEMENT LOCATION:
Address: 2305 RIVER HAMMOCK LANE
Property Tax ID#: 3404-313-0011-100-1 Lot No.6
Site Plan Name: Block No.
Project Name: RIVER HAMMOCK PROJECT-WATER INSTALL.
DETAILED DESCRIPTION OF WORK;
SET WATER METER TO EXISTING SERVICE AND RUN 1" LINE TO HOUSE AND TIE WITH COPPER ABOVE GROUND
LEAVING JOINTS EXPOSED FOR INSPECTION.
CO,NSTRUCTIO.N INFORMATION: ��rt
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric ✓lumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ $544.00 Utilities: _Sewer _Septic Building Height:
01NNER/LESSEE: CONTRACTOR:,
Name RONALD RAYMOND Name:CITY OF PORT ST LUCIE UTILITY SYSTEM.
Address:2305 RIVER HAMMOCK LANE Company:
City: FORT PIERCE, FLORIDA State:_ Address:900 SE OGDEN LANE
Zip Code: 34981 Fax: City: PORT ST LUCIE State:FL
Phone No.(772)216-1188 Zip Code: 34983 Fax:
E-Mail: Phone No(772) 873-6400
Fill in fee simple Title Holder on next page(if different E-Mail UTILITYWATER@CITYOFPSL.COM
from the Owner listed above) State or County License 25597
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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RPLEMMTAL:CON ITRUrCTI;O-Ni LLEN,LAW INFORMATION:
DESIGNER/ENGINEER: _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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITU R AN ATTORNEY BEFORE RECORDING YOUR NOTI F COMMENCEMENT."
I �
Signature of Owne ssee/Contractor as Agent for Owner Signature of Cont ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF fS+, ICU COUNTY OF s«uc0
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Q_1_day of F r 20 0l0 by this 04 day of February 20 9n by
bio M/Q Al D 4 I A.(, Brad Macek
Name of person making sta ement. Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
::T�/I AJft� 04)502, 52!-,!:=
ignature of Notary P blic-S dEANETTE TROMPS ture of Notary PublicY�a�e_of Florida)
Vjk ,��
N; I tary Public-State of Flo' a ��.�.�.. JEANETT � PSON
Commission No. � a P m ssion No. p,.;,. E(Commission #GG 03 ;.� o ary Public-State of Florida
� ° c My Comm.Expires Oct 14,2020 - S Commission #GG 037084
My Comm.Expires Oct 14,2020
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REVIEWS FRONT 72ONING SUPERVISOR PLANS VE TQ3WT0R+llTii%tion N%4NfiR VE
COUNTER REVIEW REVIEW REVIEW R
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19