HomeMy WebLinkAboutBuilding Permit Application Al!ApFE1CABLfr iYF MUST BE COMPLETE]FOR APPUCATI
Date: QiII TO BE ACCEPTED
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Permit Number- .
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Planning.ondDevelopment5ervkes Building Permit Application
Building and Code Regubtfon Division
2300 Wginiu Avenue,Fort Pierce FL 34982 Commercial
Residential
Phone:(7721 462-1S53 Fax:1772)452-1578
PE IT APPLICATi[3i1# F�R:.��.._,�.—�
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#.MPRDl1l .ENT LtCTI0N: 71
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Address: 1f7B Lomas Court Port St. Lucie FL 34952
Property Tax ID##: 341"15-0163-000-6
Site Plan Name: 22/36SI40E Lot No 6
Project Name: RIVER PARK-UNIT 3- RLK 26 LOT 6(MAP 3Q22S)1{3R 2290-2477) $tdtk No. 26
DE AL,Llr[?:aIWSi~RIF" tt N77777777777.. : .-
Re-Roof replacegarage MiDdifted bitumen►�vith n madiPied bitumen eel P and slick system.
New Electrical Meter _Second Flectricai Meter
CCIIVSTRtilV #�-
Fa# i{A'SION
Additional work to be performed .under this permit—check all that apply:
,Mechanical __Gas Tank
Gas Piping Shutters Windows/Doors
_ Electric Plumbin Pond
g T Sprinklers Generator x Roof 0112-F#at
Total Sq.Ft of Construction: '1009 pitch
Sq.Ft.❑f First Fluor: 1461 sf
Cost of Construction:$
t3tifilies: _XSewer Septic Building Height: 9
vVnl RI E55- EE,
Ben Henschel
Name Ben `
Address:120 E Oakland Park gird Ste 4n5 Name:Mark Deter
City: Oakland Paris company_DeLo Gvnstructian Services LLC
State:EL Address:2189 SE Erwin Road
Zip Cade: 33334 Fax;—.—
ax: city_ PoTt Saint Lucie
Phone rdcs.T72-323-9981 State.E1-
Zip Code: 34952 Fax:
E-fvlaif:rrsarls�clelooanstructivn.cvm
Phone No 772-32;3-9uat
Fill in fee simple Title Holder on next page(if different £-Mail markQdeioconstruction.com
from the Owner listed above) '1 332142
State or County License CCC
If value of cOnstructiOn is 2500 ar mo e,a It£CORDED"Ice'Of CGmmenrement is regtrireci.
value of HAVC is$7,500 or more,a RECORDED Notice of Carnmentement is require.
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- I'P�Iw1111 ENT;4I::CDAISTR �[:CAS•l�IiF�;1�IF1l�q`�'I.(7
DESIGN
ERJENGINEEIR: IV... :'..•..:.
Name: Net Applicable MORTGAGE CaMPANY:
Address. Name: Not Applicable
City: Address:
Zip: �-�Phone State City:
Zip: Phone. State:
FEE SIMPLE TITLE HOLIER: �Not Applicable BONDING CQIVIPANY:
Name: _._._Nat Applicable
Address: Name:
City: Addrem:
Zip: Phone: City:
Zip:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby trade to obtain a permit to do the work anti installation.as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit
whichcis sn�nnt#fictaivih ahy applicable Hareiwe tRssoc ation�rc�leill authorizes bylaws or and coven holder to build thants that
structure.Please consult with your Home pwners Association and revieab+bylaws
or and c oven an t that
rrf=iGft nsubla ctstructure
In consideration of the rare#in of this re uesta=d may restnct or prohibit such
R y .pply
agree that I in accnrdanea with the approved plans,the Florid Building Codeseand San`in all respects.perform the work
t Lucie Cow
The€offowi t3ulldin ty Amendments.
n$ g permit applieotions are exempt from undergoing a full concurrency review:room additions,
accessory structures swimming pools,fences,walls,signs,screen rooms and accessary uses to another non-residential use
WARNING TO U'ils to Y Your failure to Record a Notice of commencement may resuft in paying twice for
improvements to your property.A Notice of Corrrmencerrrent must be recorded in the public records of 5t_
Lucke County and Po d on the jtybsite before the first i
with lender Gran taCriQ bpf r ca nspection.If you intend to obtain financing, consult
rrrinencin�work or record'
n our Notice of Commencement.
51 nature of owner/Lessee/Corn or as Agent for.Own er Signature of Contractar/L' arse HolderSTATE OF FLORIDA
COUNTY OF STATE OF FLORIDA
COUNTY OF
Swear or affirmed)and subscribed before me of
physical Presence or Swernnte-(fir 4Rrmed)and subscribed before me of
this�_a3ay of - Online Notarization theis day of esence or Orlin¢Notarization
2a24 by
2024 by
Name of person malting statement. a
making staterrrent.
Personally Known a Name of Person Produced Identification —�
Type of identification Personally Known i�r OR produced Identification
Produced Typo;of identification
Produced
-
(Signature of Notary P
RAY' one ClNDY e0VE6 v€Kota P
5y ture ry
Commission No. _ Public 5[ate of tpri a �,,.1!p" NDY WEBB
mission p GG 312 94
Commission Ex i�t ss#An No. F� vtarl��llFW6 T-State of 2394
�'�«;;n;L•' � CMay 23,202 3 "z Cam�aF�31}an is GG 3T239G
` My Commission Expires
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE i COUNTER REVIEW REVIEW REVIEW REVIEW MANGROVE
REVIEW REVIEW
RECEIVED
DATE -
COMPLE`tED
ev.