HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
-:-Date: Permit Number: a00—% " 603--)
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Building Permit Applicati . Lu
Planning and Development Services
Building and Code Regulation Division CommercialNOW Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR. II11\
PRQI?OSED 1MPR,Qi/EMENT L(7CA !QN
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Address: 8391 mulligan circle
Property Tax I D #: 3327-502-0230-000-5
Site Plan Name:
Project Name: Castle Pines -Lancieri
'DETAILED DESe' CRIPTI0N OF;UN(
Install Hurricane windows t 4 S�
cd er S-
New Electrical Meter Second Electrical Meter
CONSTRUCTION I NFC+RMATION , .,
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ $���' `8�3. 00 Utilities: —Sewer —Septic Building Height: 2
,01NNER/LESSEE =
CC?NTRACTOR
Name Rolled Stone L.L.C.
Name: Brian Bailey
Address: P.O. Box 880128
Company: Eagles Wings Construction Corp
City: PSL State: _
Zip Code: 30988 Fax:
Ph U n-, —el No, /r2: _�2EF6-9'
Address:191 Fallon Dr
City: PSL State: FL
Zip Code: 34983 Fax:
Phone No772-370-6827
E-Mail:Lanceri@bellsouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail eagleswingsconst@gmail.com
State or County License CGC1515537
Ir value or construction Is LSUu or more, a KtCUKDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPL-"E"MENTAL CONSTRUCTION LIENi W fNFC}RMATION
DESIGN... ,�..
ER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
improvements to your property: A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to ob financing, consult
with lender or an attorney before commencing work or record in o r Notice of C94 r0encerptnt. STATE OF
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Contractor/License Holder
Signature o Owner/ Lessee/Contractor as Agent for Owner
Sign ure of
STATE OF FLORIDA
COUNTY OFORIDA� J� �
d� �U-
COUNTY OF
Swor o (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Pr nce or � Online Notarization
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