HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number: )idI I do 1 a
--- - RECER""D NO'� 02 2016
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 line �''�otd�o aii
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PROPr,OSED O IE NT LOCAT UN ;y!/�,
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Address: 8601 Lakeland Blvd., Fort Pierce, FL 34951
Legal Description: 1301-609-0003-000-7 Lakewood Park
Property Tax ID #: 1301-609-0003-000-7 Lot No. 3
Site Plan Name: Block No. 1
Project Name: Migdalia Torres Rodriguez
Setbacks Front Back: Right Side: Left Side:
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DETAILED.°DE�CRIP
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Additional work to (je neorme under this permit — c ec a apply:
❑HVAC IJ Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
LI Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 27,850.00 Utilities: Sewer Septic Building Height:
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Name Migdalia Torres Rodriguez
Name: Glen Upchurch
Company: Guardian Solar, LLC
Address: 8601 Lakeland Blvd.
Address: 760 Anclote Rd Unit A
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
City: Tarpon Springs State: FL
Phone No. 787-451-8777
Zip Code: 34689 Fax:
E-Mail: migdaliatr@gmail.com
Phone No. 800-605-7211
E-Mail: danny.guardiansolar@gmail.com
Fill in fee simple Title Holder on next page ( if different
State or County License: CVC56709
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
/v." ,
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:
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
commencing; work or recording vour Notice of Commencement.
J
Sign-iFare-ofthmIM91f@?Rre7r-on—Trattor as Agent for Owner
Holder
STATE OF FLORI STATE OF FLORIDA
COUNTY OF_!� (�t'��GL, COUNTY 01`?!Jt �,� �S
The for oing instrurrtent was acknowledged before me
thiMda of k er 20 \_�Qby
Personally Known OR Prod c �grif�
Type of Identificati n Produ niatnnj Pubft state of Fionaa
Commission No.
Revised 07/15/2014
Angie 6ryarn
- mission FF 163371
vlloa 0912512018 ` 1
The for oing instrument was acknowledged before me
this day of _�( }-Ob er 20 � by
rsonally Known OR Prpc}r�tjias�
oeofldentifica ion oduc a„n�icState of Florida
n No.
Angie Bryant
e �3irmission FF 163371
rye€ Expiro5 0912512018 E i
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