HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 51��� Permit Number: nos- a I1
s RECEIVED MAY 0 8 2017
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 xxx
PERMIT APPLICATION FOR: Renovation El
PROPOSED IMPROVEMENT LOCATION:
Address: 1466 SWEETBAY CIRCLE, PALM CITY FL 34990
Legal Description: HARBOUR RIDGE-PLAT-9 WEST HAMMOCK VILLAGE UNIT 9(OR 1803-1848)
Property Tax ID#: 4426-804-0042-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Raise existing patio floor to match, install new slider, minor electric and A/C
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit—check all apply:
�HVAC Gas Tank Gas Piping _Shutters a✓ Windows/Doors
Electric �Plumbing Sprinklers -Generator Roof Roof pitch
Total Sq. Ft of Construction: 300 Sq. of First Floor: 4032
Cost of Construction:$ $35,000.00 Utilities: R1Sewer E]Septic Building Height: 1
OWNER/LESSEE: CONTRACTOR:
NameSUSAN SAMETH Name: RON SMITH
Address:15 TALL PINES ROAD, PO BOX 78 Company: CONSOLIDATED BUILDING CORP.
City: NEW VERNON State:NJ Address: 7118 SE OSPREY STREET
Zip Code: 07976 Fax:NIA City: HOBE SOUND State:FL
Phone No.973-714-7111 Zip Code: 33455 Fax: N/A
E-Mail:bobsameth@gmail.com Phone No. 772-215-3690
Fill in fee simple Title Holder on next page(if different E-Mail: todd—first@yahoo.com
from the Owner listed above) State or County License: CGC053480
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTALCONSTRUCTION LI EN;LAW]N FORMATION
:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: BRANDON DAVIS,PE Name:
Address:801 NE TOWN TERRACE Address:
City: JENSEN BEACH State: FL City: State:
Zip: 34957 Phone: 772-444-023 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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_y_our_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.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
New;3er sew(
STATE OF FTORtBA STATE OF FLORIDA
COUNTY OF (1;Vn 5 COUNTY OF IMGs_( 'i-/ A/
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The forgoing instrument was acknowledged before me The forgoing instrum nt was acknowledged before me
this 2—F day of 1��I 1� . 20 Eby thisn day of 20 �77 by
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(Name of person acknowledging) _ (Na of person acknowledging)
i nature f Notary Pu lic-State (Signtiturie of Nota Public-State 4oforidaOR Pr cluced Identification Personally Known OR Prod Idepptifica onType of Iuenfifical!.,on Produced cleral (� Type of Identification ProducedeC b daL t,U_-C
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REVIEWS FRONT ZONING SUPERVISOR. PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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