HomeMy WebLinkAboutBuildiding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
4 J i -J I_
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 tine
I PROPOSED IMPROVEMENT LOCATION:
Address: 3200 S 7th Street
Legal Description: See attached
Property Tax ID #: 2427-601-0060- 00-0 Lot No.
Site Plan Name: Windsong Mobile Village Block No,
Project Name: Windsong Mobile Village
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
10 ition a I wo rK to be nertormed
CJHVAC 1:1 Gas Tank
Electric ❑ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 1500
izo
permit — cnecK all apply:
Gas Piping _ Shutters. 1] Windows/Doors
Sprinklers Generator 11 hoof Roof pitch
S Ft. of First Floor:
Utilities: 0Sewer Septic Building Height:
OWNERf LESSEE:
CONTRACTOR:
Name Windsong Owner LLC
Name: Donald S Green
Address:1750 S Telegraph Road #106
Company: Don Green Electric LLC
City: Bloomfield Hills State: MI
Zip Code: 48302 Fax:
Phone No.
Address: 1305 W 1st Street
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772.418-5739
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: dongreenelectric@gmaii.com
State or County License: EC13007447
IT va►ue or construction is ,ozbuu or more, a KtUJKo&U Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State;
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Applicable
Name:
Name:
Address: 1306w1atsb i
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 Horne 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
commer)Qng work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
SigVature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MART1N
COUNTY OF MARTIN
The,kolgoinginstru entWi3sacknowledgetcliefore me
thi day of � 2W
The f ing instrum t s I owledge ore me
this 1 day of 2(f�y
bonaw B Green
DONALD B GREEN
Name of person making statement
Name of person making statement
Personally Known X OR Produced Identification
Personally known X OR Produced Identification
Type of Identification
Type of Identification
4roued
i
Prod d
tu of Nota
y�► MoWy Pubhc SWA of Fiodifn
Commission No. # � �s2
MY - Expil" G1lOSPZG24
(Si a ur f Nota P�IIlI tal�fi p o1 Florida
joy, ope"WW
Commission No. M' 01 Ir752
f�
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
MARAVILLA GARDENS SID-UNIT THREE- PART OF LOTS 180 TO 183 INC MPDAF: FROM NW COR
LOT 183 RUN E ALG N LI LOT 183 662.1 FT, TH S 85 FT, TH E 140 FT, TH S 177 FT, TH E 267 FT,
TH S 238 FT, TH W 92 FT, TH S 50 FT, TH E 6 FT, TH S 76 FT, TH W 182.18 FT, TH S 200 FT, TH E
25A FT, TH S 322.7FT, TH W 730.67 FT TO E RIW Lf S MAYFLOWER RD, TH N ALG SD E RIW
522.67 FT, TH E 135 FT, TH N 76 FT, TH W 135 FT TO AFORESAID E R►W, TH N ALG SD E RIW
550.34 FT TO POf3 (OR 3855-1410)