HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 113 Se Soneto Way, Port St Lucie, FL 34983
Property Tax ID #: 3419-550-0121-000-9 Lot No.Z-0
Site Plan Name: Block No.
Project Name: \ Cc ro l
DETAILED DESCRIPTION OF WORK:
Replace exterior door
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Gas Shutters V Windows/Doors
_Mechanical _ Tank _ Gas Piping _
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ %5L4(e.2.s Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Hallie Trainor Name: Edward B lean
Address: 113 SE Soneto Court Company: Integrity Home Builders of the Palm Beaches
City: Port St Lucie State: F(— Address: 231 NE 29th Street
Zip Code: 34983 Fax: City: Boca Raton State: FL
Phone No. 772-342-2874 Zip Code: 33431 Fax:
E-MailA, CJ1a,)CN` Phone No561-715-8168
Fill in fee simple Title Holder on next page I if differentMail
from the Owner listed above) tate or County License
fit
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.
Address:
City; State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
0
Zip: Phon
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
)M&i., 4sed_"Uv�
Si ire of Own . ee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 1•ti YV
The for oing instr ent w s acknowledged before me
this �i� day of ✓I, 20_a by
a,Ir'?, U'aw(
Name of person making statement.
Personally Known k OR Produced Identification
Type of Identificalion
Rachel Galbicke
Expires 01!07/104
X2173181
FRONT
REVIEWS ( CO NTER I ZONING
I S REVIEWOR
DATE
COMPLETED
/,,, � " I : 2�
Signature of Contractor/License Holder
STATE OF FLOR
COUNTY OF a\ear, 'lQ,c %M
The foLgoing instrument was acknowledged before me
this ZVayof Q{�c:\ .20_,�p'by
Name of person making state ent.
Personally Known OR Produced Identification
Type of Identification
(Signature
Commission No :1AL MV COMMIS oI lte9l�0630301
yv EXPIRES January 17, 2021
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW