Loading...
HomeMy WebLinkAboutPERMIT 150 BANYAN DRALL APPLICABLln INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Date: :.. , w -� � T Building Permit Application Planning and Development Services Building and Code Regulation Division 23�01/irginia Avenue, Fort Pierce FL 34982 Residential Phone: (772} 452-1553 Fax: (772} 452-1578 Commercial ��„ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PRCJPOSED IMPROVEMENT LOCATION: Address: S D an an �Y ' �,. .� Legal Description: � �� � Qr �j Property Tax ID #: �i� - — .. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: e ��, O� -GX rS �!'�� j2o � � �r1 va i n5� C: i 4n � V�'!� ioh M4.�,� r 4� � (' %19� ��� CONSTRUCTION INFORMATION: A itiona wor to a er arme un er t is permit — c ❑_ HVAC � Gas Tank ❑Gas Piping �i:lectric ❑Plumbing �5prinklers Total 5q. Ft of Construction: Cast of Construction: $ ado OWNER//LESSEE: Name I� Q� � i 7 Lot No. 7 Block No. � 3 5 >n ,c+� S% i �g ks apply: _Shutters Q Windows/Doors Generator � Roof s �} Roof pitch s Ft. of First Floor: _ Utilities: Sewer � Septic Address: 0 / � city: 0 T � �� f �1�1� � _state: �G Zip Code: 3y�i'Sa Fax: Phone Na. E-Mail: Fill in #ee simple Title Holder an next page (if different from the Owner fisted above} CONTRACTOR: Building Height: Name: A!o/38 Company: TREASURE COAST ROOFING Address: 1816 SW BILTMORE STREET City: � /�- �. [! G+�G State: FL Zip Code: 349$4 Fax: 772-343-8358 Phone No. 772-374-9770 E-Mail: TCROOFINGLLC@GMAIL.COM State or County License: CCC1339653 If value of construction is $25a0 ar more, a RECOitD1=D IVatice of Commencement is recfuired. SUPPLEMENTAL CQNSTRUCTIQN LIEN LAW INFQRMATION: DESIGNER/ENGINEER: _Not Applicable Name: MORTGAGE COMPANY: _Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FETE SIMPLE TITLE HOLDER: �. Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: 181b Sw BIL'rMORE STREET Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application [s 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 Assoclation rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult wrth your Hame Owners Association and review your deed for any restrictions which may apply. !n consideration of the granting of this requested permit, ] do hereby agree that !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 roams 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 pasted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender ar an attorney before commencin work or recordin our Notice of Commencement. _, Signature of Owner/ Les / ractor as Agent for Owner Signa re of Contracto /Li ns older /STATE OF FLORIDA COUNTY OF ST LCIJIE STATE OF FLORIDA COUNTY OF ST LIJCIE The forgoing instrument was acknowledged before me i:hisoZY day of or �Da�4 by The forgoing instrument was acknowledged before me this 1q day of mod✓ . ZD�o by BftIAN J MALONEY BRIAN J MALONEY Name of person making statement Name of person making statement Personally Known x OR Produced Edentification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (signature of Notary Public- State of Flon a) (signature of Notary Public- State of Florida ) Commissia Commission No. Victor G Alferizlo Notary public, State of Florida Victor G Alterizio a State of Florida REVIEW NTCom �I�� iGG t�P$RVI bR PtANS REVIEW EGET I �y REVIE ©mrr�ls84on ExP G �p41ii��• _ �AIV 2 E 1N - - DATE RECEIVED DATE COMPLETED Rev. 8/2/17