HomeMy WebLinkAboutBuilding permit app FFALL APPLIC BLE INF MUST BE CO LETED FOR`APPLICATION TO BE ACCEPTE
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Date: � 1 Permit Number:
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Building Permit Application
Planning and Development Services
Building aqd Code Regulation Division "
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 7671 Charleston Way Port St. Lucie FL 34986
Legal Description: Reserve plantation CE phase 1-lot 39-less as in or 540-544-(or 3854-2187
Property Tax ID#: 3321-801-0039-000-6 Lot No.39
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Interior work only. Work to be performed in master bedroom/closet. Relocate existing toilet and a new
toilet room. In large the existing walk in closet and separate into two closets with separating doors.
Change the existing pocket door leading into the existing master bathA swing door.
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit—check all apply:
In
�HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric �Plumbing Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: 88 S . Ft.of First Floor:
Cost of Construction: $ 8800 Utilities: it/iSewerE]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Michael W Dace Shirley Dace Edward McKenna
Name Y Y Y Name:
Address:7671 Charleston Way Company: Stormtroopers home-improvement LLC
City: Port St. Lucie State:FL Address: 104 NE. Elderberry Terrace
Zip Code: 34986 Fax: City: Jensen Beach State: FL
Phone No.772CE429-3578 Zip Code: 34957 Fax:
E-Mail: Phone No. 772-370-4937
Fill in fee simple Title Holder on next page(if different E-Mail: Edmckennainc@gmail.com
from the Owner listed above) State or County License.
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCT N LIEN LAW INFORMATION:
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 our Notice of Commencement.
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S—ignat6re of Owner/Lessee/Contractor as Agent for Owner Signatbrre of Contractor/License Holder
STATE OF
COUNTY F ORIDA STATE OF FLORIDA
COUNTY OF ��-
The or oing instru ent was acknowledgeed before me The f rgoing instrument was acknowledged before me
thi�day of 201 by this�ay of �L l \ 20 by
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(Name of person acknowledging) (Name of person ac nowledging)
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(Signature of N tary Public-State of Flo ida) (Signature of Notaq Public-State of Florida
PersonallyKnow. ion Personally Kpow.nat,, _ , ORProd a denti ti n
Type of Identif hid Produce6lIGE A UFF Type of Ide itif,kgs� fdErproduced ^-
No P '�* �' Notar p i HUFF
Commission.-... Commission#FF 470 $ �k°" Y ubtic-State
fires Ma 019 Commissio4�f+! * C t@w a
. P `,l ' a\O,`, M COMM. Ion#FF 2J4730
, ,' Bonded through National Notary Assn.' .,,,oF F�o��. Y Expires May 27,201�
_ _ Bonde "utelYAd th
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE I�
INITIALS
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