HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11
Date: 3/21/2017 Permit Number: 11 b3� L�31
RECEIVED MAR 212017
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: Addition /SCf2Zf) mom
PRQPOSED f�HIPROVEMIVTLOCATION
Address: 7205 PLUMOSA LANE FT.PIERCE, FL 34951
Legal Description: Lakewood Park—unit 11—blk 149 lot 30
Property Tax ID#: 1301-613-0299-000/1 _i�)S Lot,No. 30
Site Plan Name: Block No. 149
Project Name: t
I
Setbacks Front Back: 62' Right Side: N Left Side: --
hDETAfLED DESCRIPTION OF 1NORK 3 x x n "{
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Build 10x17, two wall screen'room on existing slab. 3 inch insulated roof. 1 door
Additional work to . e performed under this permit—check a app y:
❑HVAC E]Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers a Generator ®Roof .Roof pitch
Total Sq. Ft of Construction: 170 S Ft.of First Floor:
Cost of Construction:S 2400 Utilities:n Sewer E]Septic Building Height:
�'QWNER/I_E5SEE s F `` ONTRACT R
Name William or Barbara Camp Name: Nathan Wyatt
Address: 7205 Plumose Lane Company: Nathan Wyatt Screening;LLC
City: Ft.Pierce State: FIL Address: 2394Johnston,Road
Zip Code: 34951 Fax: City: Ft.Pierce State:FI
Phone No.772-216-9847 Zip Code: 34951 Fax: 772-461-8114
E-Mail: Phone No. 772-293-5910
Fill in fee simple Title Holder on next page(if different E-Mail: natetish2394@gmail.com
from the Owner listed above) State or County License: 30063
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRtJCT10N LIEN LAW (N �RMATIOiV' ` 7 '`' x =`
:.,. . n .DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY•1 _Not Applicable
Name: R•Dunlea Name:
Ad d ress:1513 Cervantes Place Address:
City: Thevillages State: Fl City: State:
Zip: 32159 Phone: n2-2es.64u Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: sC 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 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 our Notice'of Commencement.
s
Sign ture of wner essee/C tra or as Agent for Owner Signature o Contra or/License Holder ,
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF 6*. COUNTYOF Sk.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledg d before me
this 36%-day of W%� I 20 17 by this a.\ day of. 1NN A e ,20�1 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary P lic-State of Florida)
Personally Known t9 Pro cAtl@t4�11trNs Personally Known OR Produced Identification
Type of Identifications wvyLION#GG 023e Type of Identification Produced,
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,
Publicundetwriters Commission NO. fro DEANNA& YENS
Commission No. CO�IMW UN# G 022023.
. Y �k-
?Q;= EXPIRES:December 16,20k
L "ZI..W.- rs
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS 1-10