HomeMy WebLinkAboutBuilding Permit Applicationt � i
ALL APPLICABLE INFO MUST BE COMPLE ( W-RLrUl ON -TO BE ACCEPTED
Date: Permit Number:
Public Works
St. Lucie County, FL
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5348 GALLEY WAY PORT ST. LUCIE, FL 34949
I Legal Description: LOT 97, OCEAN RESORTS CO-OP
Property Tax ID #: 1410-502-0097-000-9
Site Plan Name: DARROW MH REPLACEMENT
Project Name: DARROW MH REPLACEMENT
Setbacks Front 10.0' Back: 5.0'
DETAILED DESCRIPTION, OF, WORK:
Right Side: 4•0' LeftSide: 10.0
NEW 24.0' x 32'8" / 38.0' MOBILE HOME REPLACEMENT
Haaitionai worK to oe pertormea unc
"-`� HVAC _ Gas Tank
Electric �'� Plumbing
Total Sq. Ft of Construction: 821
Cost of Construction: $ 17,000.00
Lot No. 97
Block No. N/A
er this permit — check all that apply:
—Gas Piping _ Shutters _ Windows/Doors
_ Sprinklers _ Generator — Roof Roof pitch
Sq. Ft. of First Floor: 821
Utilities: E Sewer _ Septic Building Height: 15.0'
OW NERAESSEE:
CONTRACTOR: .
Name DAN DARROW
Name:
CHARLES P. ROGERS
Address: 2815 PRINCETON CIRCLE
Company:
PALM HARBOR CONSTRUCTION
City: FT PIERCE State: FL
Address:
605 S. FRONTAGE RD
Zip Code: 34949 Fax:
City:
PLANT CITY State: FL
Phone No. 330.607.4657
Zip Code:
33563 Fax: 813.717.9842
E-Mail: SUSANVALLEY@BELLSOUTH.NET
Phone No.
813.717.9841
Fill in fee simple Title Holder on next page (if different
E-Mail:
ALLFLPERMITTING AOL.COM
from the Owner listed above)
State or County License:
I it value of construction is �iZWO or more, a RECORDED Notice of Commencement is required. ' " — -
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
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 your Notice of Commencement.
CA:: I �24
Signature of O%Oher/Lessee/ContractorOft Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
th it-2D day of f V\ 20 l7 by
►TA
(Name of person acknowledging)
(Signature o Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No. . p(M. &0A BLOOM
} Ikn# * My COMMISSION # GG 071106
Revised 07/15/2014
'vV0FCA 001`11 d 1'hftt 81100 Nalafy Services
(✓." 6� s
Signature of Contractor/License Holder
STATE OF FLORIDA 1' . �1
COUNTY OF � t ls
The forgoing instrument was acknowledged before me
this day of 20 Ll�_ by
(Name of person acknowledging)
(Signature of fJotary Public- State of Florida )
Personally Known �roduced Identification
Type of Identification Produced
Zp
Commission No. *MfSION#00071106
PI & February 25, 2021
9'FOF F60�\ knded ThN Budget NOIM SWces
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