HomeMy WebLinkAboutBuilding Permit Application J
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: / ` �� Permit Number: 1701- 0,391
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Building Permit Application JAN 2 0 2017
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 —5
PROPOSED IMPROVEMENT-LOCATION:,
Address: 7967 PLANTATION LAKES DRIVE PORT ST LUCIE FL `5 Itq llzp
Legal Description: LOT 59 RESERVE PLANTATION
Property Tax ID#: 3321 803 0063 000 9 Lot No.59
Site Plan Name: RESERVE PLANTATION Block No.
Project Name:
Setbacks Front 25 Back: 15 Right Side: 10 Left Side: 10
DETAILED DESCRIPTION OF'WORK:
SINGLE FAMILY HOME 3
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all appy:
❑✓_HVACIr I Gas Tank W]Gas Piping _Shutters a Windows/Doors
W1Electric 0 Plumbing LI Sprinklers ElGenerator Roof 6f 12 Roof pitch
Total Sq. Ft of Construction: 4180 S Ft.of First Floor: 4180
Cost of Construction.$ 275,000 Utilities:Sewer W1 Septic Building Height: 22
OWNER/LESSEE: CONTRACTOR:
Name STEVE DAY Name: STEVE DAY
Address:11340 SE FEDERAL HIGHWAY Company: WM. DAY INC.
City: HOBE SOUND State:FL Address: 11340 SE FEDERAL HIGHWAY
Zip Code: 33455 Fax:888 361 6509 City: HOBE SOUND State:FL
Phone No.772 546 5767 Zip Code: 33455 Fax: 888 361 6509
E-Mail:SDAY@WMDAY.COM Phone No. 772 546 5767
Fill in fee simple Title Holder on next page(if different E-Mail: SDAY@WMDAY.COM
from the Owner listed above) State or County License: CB020927
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN_,LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: xx Not Applicable
Name: MA CORSON AND ASSOCITES Name:
Address:112 SE OCEAN BLVD Address:
City: STUART State: FL City: State:
Zip: 34996 Phone: 772 223 8227 Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable BONDING COMPANY: xx 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 thepermit 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 inspe tion. If you intend to obtain financing, cons ender or an attorney before
commencingwor or recor our Notice of Commenceme
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Signature of Own e essee/ on racto as Agent for Owner Signature of Contractor/Lice
/eHolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFMARTIN COUNTY OFMARTIN
The f r oing ins ument was ack owledged before me The forgoing inst ument wa acknowledged before me
this day ofW&i 20 [�by this�D day of e�l`w� ,20 /(o by
AIAG" ?U_�� /M U/t� "-I'-
(Name(Y person ac owledging) (Name o person acknowledgLl ing)
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(Sign ure of Not Public-State of Florida) (Signa re of Notar ublic-St a of Florida)
Personally Known�OR Produced Identification Personally Known OR Produced Identification
Type of Identification Pro//d�ryucc2ed��// Type of Identification Produced rr��
Commission No. (37 S60 (Seal) Commission No. �vo/c�(dV (Seal)
Revised 07/15/2014 �a,, NANCY ELLEN MAHLER
JAR ti's Notary Public-Stetf Of Florida
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