HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 fine
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 S 7th Street L-�)T
Legal Description: See attached
Property Tax ID##: 2427-601-0060-000-0 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:
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CONSTRUCTION INFORMATION:
Additional work to a er orme under this permit—check a flapply:
0HVAC 11 Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S.Q.LFt.of First Floor:
Cost of Construction:$ 1500 Utilities: Sewer O Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Windsong Owner LLC Name: Donald B Green
Add ress: 1750 S Telegraph Road#106 Company: Don Green Electric LLC
City: Bloomfield Hills State:MI Address: 1305 W'Ist Street
Zip Code: 48302 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34982 Fax:
E-Mail: Phone No. 772-418-5739
Fill in fee simple Title Holder on next page(if different E-Mail: dongreenelectric@gmail.com
from the owner listed above) State or County License: EC13007447
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X 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: o Applicable
Name: Name:
Address: 13oswlststreel 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
commepqng work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Sig ature of Contra ctor/t[cerise Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OF MARTIN
The going instrunlent was acknowleidgejJaefore me The f ing instrum t s cl owledgV
ore me
thi day of 20y this day of -- 20
Donald 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
Pro u ed Prod d
(Sig atu of Notar iA/5t�at�rDP f� (Si a ur f Nota P IMtal*f P a
1FoGYy Public State of Flodde . JoY Copeland
Commission No. zcw= WV�6 Commission No. MyCom0 37752
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW 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 183 562.1 FT,TH S 85 FT,TH E 140 FT,TH S 177 FT,TH E 267 FT,
THS238 FT,THW92 FT, THS50 FT,THE6 FT,THS75 FT,THW182.'18 FT,THS200 FT,THE
25.4 FT,TH S 322.7FT,TH W 730.67 FT TO E RIW LI S MAYFLOWER RD,TH N ALG SD E R!W
522.67 FT,TH E 135 FT,TH N 75 FT,TH W 135 FT TO AFORESAID E R/W,TH N ALG SD E RIW
550.34 FT TO POB(OR 3856-1410)