HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST OF CAMPLETF9 FOR APPLICATION TO 09 ACCEPTFA r
Date: 1��� Permit Number: 07
JRECEIVED
Building Permi �pPlicatll n
Planning and PgvglAgmgnr5Prvi99.5 DEC3:0 2020
8041ing and Codg Haquiaaan piVi iAn Permitting
230,0 Virginia Avs?nue, Farr PlOrm FL 34.982 'D e p a rtm e n t
Phone: (772) 46.2-1553 Fax:. (772) 462-1578 COmmerdal FGtidkob
�, FL:
PERMIT APPLICATION FOR:. SIall�ing
PROPOSEQ IIVI;PR;OVEMENT LOCATION.:
.Address: 14264 ZOF:�L
Legal Description: 6/7 34 30 all that part lying 170hooterly-9f-146 .
Property Tax ID #; Lot No.
Site Plan Name: SPANISH LAKES'R41RWAYS Block No.
Project Name:
Setbacks . Front 27r: - _ Back: 47' 'Right Side:.17r Left Side: 15'.
DETAILED DESCRIPTION OF WORK:
SINGLE. FAMILYIIDrOl (reglsftnt hArne), BEDROOM %Tf-8 / 4 1% of1Rf
-NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t is permit.— check ;a apply:
LJ OHVAC Gas Tank Gas Piping Shutters J Windows/Doors.
Electric �✓ Plumbing Sprinklers ElGenerator W1 Roof
Total Sq. Ft of Construction: 2:,484 S . Ft. of First Floor: 2,484
Cost of Construction: $ 58;000 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:,
Name iN�'I�I �t�It AIf� COf I�,
Name: MAJ7HFW I YLF_NINP . .
Address: 0000 SOUTH USHWY' 1:. SMITE 402
Company: 'lMYNN DEVELOPMENT: COR
Address: 8000 SOUTH US HW, ,1. $UIT< 492
City: POR, T ST, WCIE State: FIL
Zip Code:.84062 : Fax. (772) 878-7656
city: PORT.6T•. LUCIE State: FL_ - .:. .
Phone.No. (772).878,6513
Zip Code:. 344062 -Fax:- (772)'878277505
Phone No. 1772) 878-6513
E-Mail:
Fill In.fe.e simple Title Holder on.nnxt page (if different-
E-snail:
State or County Licenser CO C03509
from the 90vner listed above)
If value of construction 16 $2500 9r more, a RECORDED Notice of CommencemOnt.lis required.
SUPPLEMENTAL CONSTRUCTION LIEN', LAW
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
bylaws
which is in conflict with any applicable Home Owners Association rules, 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 coricurrency 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
commencingwork or recordin our Notice of Commencement.
.. ... .. ....
. s.
_ Signature of Owner/ Lessee/Agent
Signature of Contractor/License Holder
STATE OF FLORID I
STATE OF FLORIDA, I
'
COUNTY OF U;LC l'�'
COUNTY -OF: l xy U
The f oing instrument was'ackn wledged before me
this day of 20
The forgoing instrument w acknowledged before. me
this day of 20 by
(Name of person acknowledging)
(Name of person. acknowledging )
`
(Signal' tary Public- State of Florida)
(Signature of toy Public- State of Florida )
'
Personally Known V OR Produced Ide
Personally Known OR Produced Identification
Type of Identificatio D
Type of Identification >s�
�„V.1
� gyp, �0"`��' Commission 4 GG 62174:
,,,���,,,, JOY POLLARD ..
��,��.,.�e.,,�
GG
Commission No..: +~= My Co(r�L)sion Expires
Commission No. '��"�= Comm�sg�8�� 62i74
•� 1 A 1
,,,�o•A,' January 202
,,,„�
:y �,.�F My Commission Expires
��°��„,�° • January 14, 2021
„�,.
.
Revised 67A5/2014
INFOR(VIATION:
,DESIGNER/ENGINEER:
Not Applicable
MORTGAGE.COMPANYs
_.Not Applicable .
Name:.ei�oErvaew�oEr�
Name:.
Address: a�7coco�urave.
Address:
.City:. STUART State: F�
City:
State:
Zip: aasss .Phone: m2i2er-az5e
Zip: Phone:.
FEE.SIMPLE.TITLE HOLDER:, Not Applicable
BONDING COMPANY:
Not Applicable ,
Name:
Name: .
Address:
Address:
City:: ..
City:
Zip: Phone:
Zip: Phone:
REVIEWS
FRONT
ZONING
SUPERVISOR
.PLANS
VEGETATION
SEA TURTLE
.MANGROVE
COUNTER'.
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE.
COMPLETE
INITIALS