HomeMy WebLinkAboutBuilding Permit Application Amok
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
�0 l Date: 3/16/17 Permit Number:
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Building Permit Application
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: Building
PRO POSED,[M PROVE MENTLOCATION ., i
f Gentile Rd Fort Pierce FI 3 ` �
Address:
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Legal Description: Lot 1 , Gentile Land , according to the plat therefore as recoderd is plat book 58, page (s) 16 and 17'
Property Tax ID#: 2322-800-0002-000/5 Lot No. 1
Site Plan Name: Lackey Block No.
Project Name: Lackey
Setbacks Front 180' Back: 668.67 Right Side: 35' Left Side: 40.13
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J,,,DET'fA' '1LED DESCRIPTI0N.:OF WORK
1) Buda new house / monolithic slab /CBS walls /with gable roof/ Metal roof covering 5V/septic tank
2) 3 Bedrooms / 2 baths / 2 car garage
3) (1) front cover porch (1) Back Cover porch
CONSTRUCTION INFORMATION,;
✓Additional work to be nerformed under t ispermit—check all apply:
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ZHVAC Gas Tank Gas Piping _Shutters Windows/Doors
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Z Electric Plumbing EISpr' klers E Generator W1 Roof 7/12 Roof pitch
2838 s ft 2838 s ft
Total Sq. Ft of Construction: q S�Ft.I of First Floor: q
Cost of Construction:$ 201,400 Utilities: L_JSewer Septic Building Height: 8'
01NNER/LESSEE : `CONTRACTOR
Name Phillip Lackey Name: Mauricio Orellana
Address:801 Garden Avenue Company: One Construction & Roofing contractors
City: Fort Pierce State:FL Address: 2766 sw Edgarce st
Zip Code: 34982 Fax: City: Port saint Lucie State:FL
Phone No.772-370 4954 i
Zip Code: 34953 Fax:
E-Mail:NIA Phone No. 772-519-2449
Fill in fee simple Title Holder!on next page(if different E-Mail: oneconstructionservices@yahoo.com it
from the Owner listed above) State or County License: CGC 1515745
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: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Paul welch Inc Name: Harbor Community bank
Address:1984 sw Biltmore st#114 Address: 200 South Indian River Dr.
City: Port Saint Lucie State: FL City: Fort Pierce State: FL
Zip: 34984 Phone: 772-785-9888 Zip: 34950 Phone: 866-734-2694
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FEE SIMPLE TITLE HOLDER: x 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'Isuch
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 fort
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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Signature of Owner/Lessee/ tractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIp �-A \ STATE OF FLOR DA
COUNTY OF 1.v Ct COUNTY OF 1 y C\�
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledg d before me
this__L6ay of (k.C P-, 20 ATby this I day o (IV Ch 20 �7 by
CIC) LJ�(� 1GI"1CL�
(Nam of p son a k owledgin (Name of person acknowledging)
(Signature of Notary Public-State f Florida ) (Signature of Notary Public-State f Florida)
Personally Known OR Produced Identification Personally Known OR ProducN Identification
Type of Identification Producgc `r Q ___ _ Type of Identification Produced U L
Commission No. r 2 =�•I (fig,t)jMigSlrJN F Fr z. ;�Qmmission No. _� �Pu� In.17
CU�MI.gtOr1iJ 925fr
?' EXPIRES Decembe, .i-r.,2
IREB�accmhar 17,20'
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Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I (i
COMPLETE I
INITIALS
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