HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO. MUST BE COMPLETED: FOR APPLICATION TO BE ACCEPTED
Date: J: Permit Number:
• . .
Building Per: Application
REC-EIVED.
Planning and Development Services:.
`1 5 1015
Building 6ncl: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 dropb&, click-arrow:at the end of. line
PROPOSED IMPROVEMENT LOCATION:
11298 Muller Road Fort Pierce, FL 34945
Address:.. .
Legal Description: 33 35 39 THAT PART OF W 1/2:OF SW 1/4 Or. NE 1/4 LYG S:OF CANAL 71-LESS E 206 FT AND LESS RD R/W- (2.86 AC) (OR 3370-74.5)
Property Tax ID'' 2333-133-0001-000-5- Lot No.
Site.Plah Name: — :Block No.
Perc' /Drawd home addition
Project Name: Y Y
..... ..
Setbacks: Front :Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
293 square foot addition to house
Additional work to:be erformed under this permit — check all apply:
HVAC _Gas Tank Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing :0Sprinklers. Generator Roof. :.
..
Total Sq. Ft of Construction: 293 Sq. Ft. of First Floor: 293 .
Cost of Construction: $-30,000:... Sewer Septic Building Height::.. Utilities: _ g
OWNER/LESSEE: :.:
-CONTRACTOR:...:; :...,.
Name Rebecca Percy
Name: Home owner builder
Address:1129.8 Muller Wad
Company:
Address:
City: State: -
.:Zip Code:. : Fax:
Phone:No.
Fort Pierce Fl...::
city -State::_
Zip Code: 34.945 Fax:
Phone' Phone No.
.:Becca drawd cc.corri ;.:...::
E-Mail: °� Y
Fill in fee simple Title Holder on next page (if different
from the :Owrier listed::above):. :::
: E-Mail:
State;pr County:License.:
If value of construction is.$2500 or more, a RECORDED Notice of Commencement is required.
....... r .....
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: cookandMenard.
MORTGAGE COMPANY: x .Not Applicable
Name:
Address': 806 DelawareAve .. .... :.
Address::::
City: Foif Pierce . . State: FI
Zip} 34950 Phone: 772-460-7751
City: State:......
Zip: Phone:
FEE SIMPLE TITLE HOLDER::. X_ Not.Applicable :::
Name: :.......
BONDING COMPANY:::: _Not Applicable :.
Name:
Address:
Address:
City:
City:.
Zip:. ::: Phone:::: :::
Zip: -Phone:
I certifythat no work or installation has commenced prior to the issuance of a permit.
St Lucie County makes no:representation that is ge.anting'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 aiid'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 of the granting of .this requested•permit, I do hereby':agree that [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 applicatioris are exempt from undergoing a full tdncurrendj'r6view: roorii additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO'OW.NER Your. failure to Record a Notice of Commencement may result in"your.paying twice.fbt
improvements to you r:property :A Notice:of Commencement:must be recorded and posted. on the jobsite
before the first inspection. If'you intend to obtain financing"itonsult with lender or an attorney before
commencine work or.recordine vour Notice of Commencement.
- ....... ....... ..... ....... ...... S
_ Signature of Owner/ Les/eeV gent Signature of Contractor/L'cen e:Holder
STATE OF FLORIDA- STATE -OF FLORIDA
CO.UNTY:OF::. L CACOUNTY OF. ...... l�
The forgoing instr ent was acknowledged before me The forgoing ihstru ent was acknowledged before me
�i' day of 20 by
this ay of 20 Toby thi y
". .. :: I
` a �1 ". ......
(Name of person acknowledging ), .. (Name of person acknowledging )
A n
Si a re of Nota
( g
ublic- State o f Flo lda
(Si ure of No Public -State of FI
ri6a )
17
Personally Known
•Personally Know
�'►h' '
Type of Identificat
n,^ JENNIFER MEDECKE
r'
Type of Identifica o. Pr uc�
-Commission-No.
�= Notary Public - State of Flottfd�
My Comm( j1es Oct 4. 2015
`
Commission No: :.
Notary
y Public - Stale Of ppriip
MY Ili) Expires. Oct 4, 201ti
::.:.::
'.,,o� �..•c Comelltision # EE 13SA43 ::. ::
.. ,
:.:. <.,°f .� ....:
COM111lon :EE 13SE/S .
Revised 07/ 15/2014
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INITIALS