HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
L Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PER MIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 753 Cypress ST Port St Lucie, FL 34952
Property Tax ID #: 3419-501-0081-000-4
Site Plan Name: RIVER PARK -UNIT 1 BLK 8 LOT 10 (MAP 34/22S
Project Name: Dobbs Donald
DETAILED DESCRIPTION OF WORK:
New Electrical Meter
Installation of Roof Mounted PV Sodar System
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 30,888
(Affidavit required)
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof
Lot No. 10
Block No. 8
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
Name Donald Dobbs
Address:
city: Port St L urip State: a
Zip Code: 34952 Fax:
Phone No. E-
mail: dnnalriscinhhsia'-]aol.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Pond
Pitch
Name: Greg Albri ht
Company: Freedom Forever LLC FL
Address: 3590 NW 54th St Suite #3
City: Fort Lauderdale State: FL
Zip Code: 33309 Fax:
Phone No 951 988-3982
E-mail Perm itslauderdale freedomforever.com
State or County License EC 13008056
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: VNot Applicable MORTGAGE COMPANY:
Name: _
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:
State
WNot Applicable
_ Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated-
[ 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 paying twice for
improvements to your pr perty. A Notice of Commencement must be recorded in the public records of St.
Lucie County and postecyqn the jobsite before the first inspection. If you intend to obtain financing, consult
with lendev r]an attcwrYe4 before commencing work or recording your Notice of Commencement.
ZV-
Signature of Own 0Lessee/ ❑ actor as Agent for Owner
STATE OF FLORIDA Q
COUNTY OF p►�,
Sworn to (or aff' med) an subscribed beNi me of Physical Presence or Online Notarization
this K day of 20_a by
Greg Albright
Name of person making statement.
Ily
of
OR Produced Identification
uced
(Sig atu
Late of Florida)
Co ission No.
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REVIEWS
FRONT ZONING
SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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MANGROVE
REVIEW