HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l '
CG.m I
VED
Building Permit Application
Planning and Development Services OCT Q 4 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 PERMITTING
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ResidentiaLucie county, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7301 Marsh Terrace Port St Lucie, FI 34986-3234
Legal Description: MARSH LANDING AT THE RESERVE-PHASE ONE- LOT 1
(MAP 33/21 N) (OR 3931-1043)
Property Tax ID#: 3321-804-0008-000-9 Lot No.1
Site Plan Name: Marsh Landing at the Reserve Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and replace roof tile.
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_HVAC _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator `�Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 4,000 sf Sq. Ft.of First Floor:
00000.
Cost of Construction:$ 20, Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Bright Harbor Capital Properties LLC Name: Juan IJ. Marrero
Address: Hwy#1004 Company: arr Builders, Inc.
City: Fort Pierce State:_ Address: Savona Blvd
Zip Code: 34949 Fax: City: Port St Lucie State:
Phone No.772.528.0961Zip Code: 34953 Fax:
E-Mail:marr ul ers ya oo.com Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: marr ul erS ya oo.com
from the Owner listed above) State or County License:
If value of cons uction is$2500 or more,a RECORDED Notice of Commencement is required.
��
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 wqrk recording our Notice of Commencement.
Signa ur o Owner/Lessee/Contractor as Agent for Owner Signatur o ontractor/License Holder
STATE OF COUNTY OF FLORIDA Lu C(� COUNTSTATE Y FLORIDA
Y OF
The for i g instru a was acknowledged before me The forgoing instrumems ackr�wledged before me
this 3�day of �✓ 20��by this `�ay of �/ 20(3 by
Name of person ing statement ate,• Name of perso a ing statement
Personally Known OR Produced Identification Personally Known�OR Produced Identification
Type of Identification' ` Type of Identification
Produced m-GG `C35 _7D Produced—MI-Pub .35 1 0 qCQ y
r
(Signature of Notary Public-State of Florida (Signature of Not
LANE COL'LI,QISaaI� .'";','��, LANE COLLINS
Commis '••:? n#FF �35�3 Commi ip ' '`�s mission# FF 903���3a1)
._ • ' My Commission Expires
My Commission Expires gyp„• July 26, 2019
�'�','•or��e'..�` July 26. 2019 ••,,,;F :.�o
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE 5/ 117
RECEIVED
DATE
COMPLETED
Rev.8/2/17