HomeMy WebLinkAboutBuilding Permit Application ALO PPLICABLE INFO MUST BE COMPLEN FOR APPLICATION TO BE ACCEPTED
'Date: Permit Number: 11 d 5
RECEIVED MAY 0 8 2017
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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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
. ,
Address: 416 SE Naranja Avenue, Port St. Lucie, FL
Legal Description: River Park- Unit 4 Blk 32 Lot 18 (MAP 34/28N) (OR 1799-2337)
Property Tax ID#: 3419-530-0018-000'-2 Lot No. 18
Site Plan Name: Runge Block No. 32
Project Name: Runge
Setbacks Front Back: Right Side: Left Side:
DETAILED.DESCRIPTION OF WORK
Replace Wall & Dock
CONSTRUCTION INFORMATION
AaaitionalworKtobanerformed under this permit—c ec a apply:
0
�HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing OSprinklers El Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 14,900.00 Utilities:,n Sewer Septic Building Height:
OWNER/LESSEE CONTRAC.TOR�
Name Richard Runge Name: Dale Gasparik
Address: 2155 SW Gull Harbor Lane Company: LD Contracting
City: Palm City State:FL Address: 486 High Point Court
Zip Code: 34990 Fax: City: Melbourne State: FL
Phone No. (772)924-7244 Zip Code: 32901 Fax:
E-Mail: Phone No. (772) 924-7244
Fill in fee simple Title Holder on next page(if different E-Mail: reginahellberg@gmail.com
from the Owner listed above) State or County License: CBC059-269
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPEIVIENTA'L CQNSTRUCTION- N"LAW-INFORMATION;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Paul Welch Name:
Address: 1984 SW Biltmore Street Address:
City: Port St. Lucie State: FL City: State:
Zip: 34987 Phone: (772)785-9888 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 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
_Signature of ner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The for Ong instrumW was acknowledged before me The forng instrumen was acknowledged before me
this day of 20 4 py this day of d 20 ,fyby
Dale Gasparik Dale Gasparik
(N=ofrsonknowled ing) (Name of n acknowledging)
(Sig at o aryPublic-St of Florida) ( igna re No Public-S e of Florida)
Personally Known X __�.OR Xa" '�a^^* ^ _ personally Known X Pr i i
Type of Identificatl'11ed Ef$IIdA HELLBERG Type of identificatio �b�$d� n�nMlSSioN#
_Y, 09
r" MY COMMISSION#GG071548 = ._, `= SXpIRES Februa�Y
Commission No. =�
PIRES�g�ry 09,2021 Commission No.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS