HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MOST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. .. . . . . . . .
Permit -Number:.!a
eases
10111W
Building Permit Application;
Planning and Development Service. . s
Avildingand Code Regulation Division
2300 Virginia Avenue, Fort'Pierce FL 34982,
Phone: (772) 4U_1553 Fax: (772).462_15-78 Coil merdal Resi.dentia"[ X. -
PERMIT APPLICATION FOR:` BUildin'g
PROPOSED IM[R�,,,'OVEMENT LOCATION:
:Add-ress:
5 GRANDE VISTA -
Legal Description: SECTION 26 1 TOWNSHIP. 36s RANGE 40t,
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Property Tax ID #: '3414-501-1701-000/9
Lot No
Site Plan Name: SPANISH LAKES ONE Block No.*
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Project Nam:
Setbacks 'Front 28':' Back:'2V Right Side:. IV Left Side-e- 14'
DETAILED -DESCRIPTION 'OF WORK:_
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REPLACEMENT HOME. SINGLE FAMILY RESIDENCE3.B'EDROOM 2 BATHS./ 11/2 GARAGES
NO SLAB. TO- BE .BUILT OFF REAR: OF. HOME
'Additional work to e is permit — c - hieck: all thA apply:
HV AC . Gas TankI Shutters 's/Qoors.
firform d under t
0,Gas Piping Window
❑
Electric. Plumbing []Sprinklers Eh6nerator", Roof'
Jotal Sq., Ft of Construction: 2,484 S It. ofFirst Floor::.2A&34'.'_
Cost of Constructi n-' $ ..........
0 -Utilities:cn: Sewer-LiSeptic Building Heightt
OWNER/kESSEE.
CONTRACTOR:
Name WYJ!ne SUOding COMP ,
Name: -MaMew WeW00
Ad dress 8 0 . 00 South US Hwy. 1 Suite 402
Company: YVkjr;n'e:De*oP*en_ t Oorp,
Address: $000 SOS US HWY - , 1 Suite 402
- City: Port St. Lucie. -State: FL
Zip Cdcle-.34.952.:. Fax.(772) 878-7656
City. Stat'es-FL....
Phon6.No-. (772)878-65113"
Zip Codet-34952 Fax: (772) 87ST7656
:E-mail: tJ70r6WYPn0b,0=h)
Phone: No.(772) 878-5513
Fill In fee simple We Holder on next page it different
:E-Mail: chefi wYnh0b0-'-CQM:
from the Owner listed above)
State or County License. C0003599
of Value of.co.n4truction.b $25099r more, 0ECORDEP Notice ofCommencement 15'repired'-
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SUPPLEMENTAL
CQNSTR`UCTION LIEN LAW Wf,', `ATION ax
�7 ,:F_.
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DESIGNER/ENGINEER: .... Not Applicable'
MORTGAGE. COMPANY.,
_.Not Applicable . .
Name:. araden.d&sraden. .
Name: .�. ..�. .. �
....
Address: 417CQwBWAY_e-
Address:.
..City: s;�uan State: f�.
City:...:
State:.
Zip: -aas9s Phone: ,c7'2)aQ7-s2 s
Zip: -Phone: - -
FEE.5IM.PLETITLE.HOLDER;.. _ Not Applicable
BOLDING 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 -Coun%makes.no re.presentation'that is granting a:perMit wi,II:authoriie:the"Permit-holder to build the subject:structure •'
which is in conflic -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 app.royed=plans; the Florida Building -Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a.'full cohc. u�rency review: room additions,- .
accessory structures, swimming pools:.fences,.walls, signs: screen rooms and accessory -uses to aftther.non-residential use.
WARNING TO:OWNER: Your failure. to'Record a Notice of Commencement may result in yowpaying twice for
improvements to _your property. A_ Notice -of Com nencement'must be recorded and -posted on the jobsite
: before the.fi.rst inspection. If you intend ;to obtain'financing; consult with lender or in.a.ttorney More.
commencing work or recordin : our Notice of Commencement..:
Signature of Owner/ Lesseo/Ag:en Signature-of:Contractor/License HoldQr.
STATE OF FLORIDA STATE Of FLORIDA:.
COUNTY OF sTLUCiE: COUNTY OF BTr^Ucie
The'forgoing instrUrie t was acknowledged before me The forgoing instrument was acknowledged before. me
-this � day of 20 a by this day of 20 41PI-0 by
fX1AJTkwLikA'wtmh .- _. MA' fftU l.Yl..£wYNIIk
(Name of person acknowledging) r (Name.of person. acknowledging)
(Signature of Not' Public -'State of Florida) (Signature of N t ry.Publio- State of Florida-)
Personally Known x OR Produced Identification Personally Known'. x OR Produced Identification
Type of Id'eritification.froduced Type'of Identification Produced -
Commission No. - •„ R SKIN Commission No 1,Y:_n„nROTHY <IN
.;: MY COMMISSION # HH 045443 '+ :.: ' MY COMMISSION # HH 045443.
a rrFOF F�oP,;, :BOnded T6ru Notary Public Underwriters aPF `;°Pd bonded Thri Notary Public UndenKitera
Revised 0V I
REVIEWS: -FRONT'. ZONING - SUPERVISOR. PLANS VEGETATION'.SEA TURTLE MANGROVE:
COUNTER. REVIEW REVIEW REVIEW. - REVIEW REVIEW- j REVIEW.
DATE-
-COMPLETE .
:INITIALS: