HomeMy WebLinkAboutPermit Application -EwingAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number,
COUNTY
Building Permit Application
L A
Planning and Development Services
Building and Code Regulation Divisfon
2300 Virginia Avenue, Fort Pierce FL 34-992 XX
Phone: (772) 462-IS53 Fax: (772) 462-1578 Commercial — Residential
PERMIT TYPE: DOOR REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 3261 -Lake horse DR Fort Piero6, FL 34949--LAktSHORE AT SANDS UNIT 6
Property Tax ID#: 1425-676-0006-000-7 Lot No,
Site Plan Name: N/A Block No.
Ewing
Project Name,
DETAILED DESCRIPTiON OF WORK:
:DPTT�,a' 6_6 I R e- 76 r—F k e— 1—(6 n 6T Fr —or i f E _nt _ry- go -
F
CONSTRUCTION INFORMATION:
Additional work to be performed tinder this permit– check all that apply:
—Mechanical
Electric
Ga -5 Tank
— Plumbing
Total Sq- Ft of Construction:
Cost of Construction: $ 2'387.10
Gas Piping
Sprinklers
OWNEft/LESSEE:
Hichard b Lwing
Name -22-61- akeshore
-
Address:
Ft Pierce Florida State,
Code n/a
Zip Code, NIA Fax,--
Phone No.
E -Mail: e grbCOcom
—Shutters
Generator
Sq- Ft- of First Floor,
Utilities, Sewer — Septic
H I I in fee sim pie Title Holder on next page ( if different
CONTRACTOR:
Windows/Doors
Roof Pitch
Building Height:
_ ---R-- —
Name: Jon Jadkson
beapainffi ui ers
Cornparty 1 . TTJQ leen --An �n��
Address:
City, FP_ 34P -g—_ n1a State: FL
Zip Code: 772- Fax:
Phone No
E -Mail Se-a--p-bintebuilders Ccocomcas.net
130 1258532
from the owner listed State or County License
If value of r construction is SZ% ! or more, a RECORDED Notice of Cc--e-ncament is required.
If va lue of HVAC if, $7,500 or more, a RECORDED Notice of Co rn mencernent is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER: Not Applicable
Name_
Address:
City.
State -
T1 p
tate:Zip: Phone
FEE SIMPLE TITLE HOLDER. � Not Applicable
Name:
Address:
City: - ---
Zip; Phone:
PAORTGAGE COMPANY: Not Applict` blc-
Name:
Address: -
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name-
Address:—
city.
ame-
Address:city.
Zip: _ Phorie:
OWNER/ CONTRACTOR AFEI DWIT: 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 rales, bylaws or a nd covenants that may, restrict or prohibit 5uCh
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply-
I n consideration of the granting of th is requested perm it, I do hereby agree that I will, in all respects, perlorrn the work
in accordance with the approved plans, the Fltrrida 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, fend, walls, signs, screen rooms and accessory uses to another non-residential use
°°'F ARwiroc TO O19 NER. YOUR FAILURE TO RECORD A NOTICE OF tOM MENCEMENT MAY RESULT Arl YOt R PAVJNG
TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MST BE RECOMFA AND
PDSTM ON THE JOB SITE BEFORE THE FIRST MISPECTXW If YOU IKFWD TO OBTAIN FMNCINIG, CONSULT
WFIrH YIHUR LENDER OR AN ATTORNEY BEFORE RIECORDMC YOUR NOTICE O - _
Rev. 2/7/19
ZI
Signature of Owner/ Lessee/Contractor as Agent for Owner
ure sof C r Li o der
STATE OF FLORIDA
STATE OF I`t IIIA
COUNTY+OF
COUNIV t3 s
The forgoing instrument was acknowledged before me
The forgo ng instrument was acknowledged before me
this day of 20T by
this ,-�' day of MO&CE . 20�lp by
Name of person making statement-
Marne of person making statement.
Personally Known OR Produced Identification,
Personally Known OR Produced identification t�
Type of Identification
Type of Identification
Produced
Produced i 0 e s L iC-c a
(Signature of Notary Public- State of Florida)
{Signature of of Public- krida
* mMWM I GG 356140
*C,o
Commission No- (Seal)
Commission No. o= Ex lxenrterf7,2023
ar n r www nru BU4K wiliq Nr&"
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETAT0N
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
CC)11+1PLETEQ
Rev. 2/7/19