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HomeMy WebLinkAboutBuilding Permit Application ALL APE r�FMUST BE Clay..10LETED FOR APPLICATION TO BE ACCEP�D Date: Permit Number: © wv" 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 'PROPOSED IMPROVEMENT LOCATION: Address: 6803 DICKINSON TERR Legal Description: OLEANDER PINES REPLAT BLK 1 LOT 132(0.343 AC)(OR 759-304) i Property Tax ID#: 3415-706-0003-000-1 Lot No.132 i Site.Plan Name: Block No. 1 Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF;WORK: n Gl 0 Se f3a.Je_1 ooa rcA t-i►ler, a_CG o r cC i y� a- C�GwecQ (cams, I � I CQRSTRUCTION INFORMATION: iti a workto e e orme I under this permit—check a apply: ' AC Gas Tankl ❑Gas Piping _Shutters Windows/Doors Electric 0 Plumbing []Sprinklers Generator l_ / 1:1 Roof Roof pitch Total Sq. Ft of Construction: 1000 S . Ft.of First Flo Cost of Construction:$ 0(7d�D Utilities: _Sewer _Septic Building Height: I 'OWNER/LESSEE: 'CONTRACTOR:e NameSHARON JAMESON Name: JOHN JACOBS 11 Address:6803 DICKINSON TER j Company: JOHN JACOBS CONSTRUCTION, INC. City: PORT ST LUCIE State:FL Address: 4701 OLEANDER AVE. Zip Code: 34952 Fax: City: FORT PIERCE State:FL Phone No.772 468-6090 Zip Code:,34982 Fax: 772 466-6491 E-Mail:sharon381957@gmail.com Phone No. 772 882-8334 Fill in fee simple Title Holder on next page(if different E-Mail:jmjacobs4701 @gmail.com i from the Owner listed above) State or County License: CBC 060421 I If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I ILE�� VITAL CONSTR`U N LIEN LAW INFORMATION: �S �rIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: —Not Applicable tllame: 160 Hu_+Clt 500 Name: Address: 60 7�e,"A 'e �ny-C Address: / City: _ Fti� �i'c��� State: rt- City: State: f Zip: ,3g944 Phone:_ 772- --2-4-7-1309 _ 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 jHome 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,jfences,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 recordin our Notice of Commencement. I s Sign ure of wner/ ssee/Contractor as Agent for Owner Signature ntractor/Li nse Holder STA E OF FLORI STATE LORIDA COUNTY OF �T I.l� C!� COUNTY F Tl11 for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of It U&,1 ! 20 Q--by this_ZJ�day of "ARY 20 by �! Jab n J 0-cobs (��Yn U G�oohs (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-7State of Florida) Personally Known '✓ OR Produced Identification Personally Known ✓/OR Produced Identification Type of Identification Produced Type of Identification Pr - I� �►�'''''; PATRI'CIA STEVENS ''� f Sea❑❑ Commission N - MY COI�SION#GG023715 Commission No. MY Cdfvl RSION#GG023715 .. ,. EXPIR a tember 19,2020 EXPIRES September 19,2020 Revised 07/15/2014 i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE f COMPLETE �I�I� 4-> J� INITIALS ,1 ()QL-j