HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COWER FOR APPLICATION TO BE ACCEPTEW
Date: 02/01/2017 Permit Number:
RECEIVED FEB 21 7017
Building Permit Application
Planning Development
and evelo ment5ervices
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: 426 SE Naranja Ave Port Saint Lucie, FL 34983
Legal Description: River Park Unit 4 BLK 32 Lot 15 (Map 34/27N) (OR 604-95:632-161:990-1907)
Property Tax ID#: 3419-530-0015-0001 Lot No.15
Site Plan Name: Block No. 32
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a apply:
11HVAC EiGasTank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers E Generator RI Roof Roof pitch
Total Sq. Ft of Construction: 3900sgft S . Ft. of First Floor:
Cost of Construction: $ d Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Roselle Gordon Name: Shary Carothers
Address:426 SE Naranja Ave Company: Paul Davis Restoration & Remodeling Team
City: Port St Lucie State:FL Address: 1950 SW Biltmore St
Zip Code: 34984 Fax: City: Port St Lucie State:FL
Phone No.772-879-6936 Zip Code: 34984 Fax: 772-340-2464
E-Mail: Phone No. 772-340-2080
Fill in fee simple Title Holder on next page(if different E-Mail: trzr@pauldavis.com
from the Owner listed above) State or County License: CRC1330916
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
FEB-2B-2017 15:27 From: To:17724621578 Pa9e:1"1
p131GNE ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable y
Name, Name;
Address: Address:
City: State; City:_ State.,
Zip: Phone; Tip: 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.Lude County makes no repre elion that is granting a permit will au�}�arse the tmlt holder to build the subject structure
which is invclfliet with any app cable Home Owners Assoaation rules,bylaws or ancoVenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed r any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,In all respects,perrbrm the work
in accordance with the approved plans,the Florida Building Codes and St.Lucia County Amendments.
The following buUmg permit applications are exempt from undergoing a full concartency review:room additions,
accessory structures, . ming pools,fences,walis,signs,screen rooms and accessory-uses to another non-residential use
WARNING TO NER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvem o your property.A Notice of Commencement must be recorded and posted on the jobsiite
before t rst I spection.If you intend to obtain financing,consult with lender or an attorney before
Comm g w k or It your Notice of Commencement
1
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gna of er/L ee/Contractor as Agent for Owner Signature of Comm r/License Holder
F FLORIDA STATE OF FLORIDA
CO TY OF 'Sl L,()GZ}- COUNTY OF,
'the forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 6!, A "s' 70 f�y thts�day of ZO by
(Name of person ac owl gin ) j (Name of person admowled I
(Signature of Notary Publi�"State nat
Florida) (Sigure of Notary Publi -S a of Florida)
Personally Known 3r oR Produced Identification Personally Known OR Produced Identification
Type of Identification srodu a of Identification Produced
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Commission No. r =01Kr;dwwds mission No. 9�aMdflodd+
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Revised 07/15/2014 `.� a, 1�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ail
COMPLETE
INITIALS