HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number: 4;P6—Dg• 4&jj
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Building Permit Application Re syso
Planning nd Deve opment5ervices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 anme�t
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resitit ounrl
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PERMIT APPLICATION FOR: Building 11
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Address: 15371 Sky King Dr. Port St. Lucie, FL 34987
Legal Description: Treasure Coast Airpark Lot 70 and a 20 ft strip of land adj on S (5.46 AC)(or 3924-1536)
Property Tax ID #: 4224-501-0070-000-9
Site Plan Name: TCAP70
Project Name: TCAP70
Setbacks Front 50 Back: 30 Right Side: 20 Left Side: 20
DETAILED DESCRIPTION
Residence, House Phase A only (no Hanger Phase B or Pool Phase C)
Lot No. 70
Block No.
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STRClCTION-INPORIIJ(AT10:N / ,,, %� /t r�,r, y s ,,.;
Additional work to be nertormed under this permit— check all apply:
❑✓— HVAC l _I Gas Tank Gas Piping _ Shutters a Windows/Doors
ZElectric 0 Plumbing Sprinklers Generator Roof 6&4 RoAf pitch
Total Sq. Ft of Construction•— ,•�)q(J . S . Ft. of First Floor: 1�i7
210 000 � - 38'-7"
Cost of Construction. $ Utilities: Ir ISewer Septic Building Height.
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Q1tVNER/LESSEE <'
CONTRACTOR ;
Name Spencer Gould
Name:
Address:12524 NW Stanis Ln
Company:
Address:
City: Port St Lucie State: FL
Zip Code: 34987 Fax:
Phone No. 772-888-5481
City: State:
Zip Code: Fax:
Phone No.
E-Mail:
State or County License:
E-Mail: sg.fieldstone@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Robert F. Oleck, Ph O, P.E.
Name: Trustco Bank
Address: 4125 20th Street
City: Vero Beach State: FL
Address: 1219 Scarlet Oak Loop
City: winter Garden State: FL
Zip: 34787 Phone: 407-347-0090
Zip: 32960 Phone: 772-492-9295
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: Spencer G &Michelle R Gould
Name: NIA
Address:
City:
Address: 12524 NW Stanis LN
City: Port St. Lucie
Zip: 34987 Phone: 772-888-5481
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 your Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder /
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5J7 COUNTY OF
The forgoing instrument was acknowledged before me
this 13L day of 20 ZcJby
IT
(Name of person acknowledging)
The forgoing instrument was acknowledged before me
this day of 20 by
(Name of person acknowledging)
( ignature of Notary Pu -State of Florida) (Signature of Notary Pub
l' State of Florida )
Personally Known OR
Type of Identification Produce)
Commission No.
d Identification
Personally Known OR Produced Identification
Type of Identificatio Produced
Commission N
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