HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:, An Permit Number: _1-1 1
RECEIVED JUL 181017
r, Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED I;MPR:OVEMENT'LOCATION:
Address: 6104 E. SEMINOLE ROAD, FORT PIERCE, FL 34951 V�
Legal Description: LAKEWOOD' PARK - UNIT 5 - BLK 50 N 84 FT OF S 224 FT OF W 120 FT OFTRACT 8 (MAP 13/02S)
Property Tax ID #: 1301-605-0260-000-4 Lot No.
Site Plan Name: TAIG RESIDENCE Block No. 50
Project Name: TAIG RESIDENCE cam) I IJ= 6
Setbacks Front_ Back: Right Side: 2— Left Side:
D'ETAILED'DES CRI,PTION OF.WORK:
NEW HOMEQ
CONSTR•U.CTI,O'N-IN FORMATI,ON.:
Additional work to e performed under this permit —check a apply:
a1VAC Ei Gas Tank r]Gas Piping Shutters Windows/Doors
aectric Plumbing ?S rinklers Generator JRoof Roof pitch
Total Sq. Ft of Construction:. 2039 SQ FT._, S . Ft. of First Floor:
Cost of Construction: $ 156,000.00 Utilities:0Sewer W1Septic
Building Height:
OWN ER/LESSEE:
:CONTRACTOR':
Name KEITH TAIG
Name: WILLIAM T BROGNANO
Address: 6886 61ST ST
Company: AMERON HOMES, INC.
Address: P.O. BOX 780874
City: VERO BEACH State: FL
Zip Code: 32967 Fax:
Phone No. 772=532-2912
E-Mail:
Fill in fee simple Title Holder on next page ( if different'
from the Owner listed above)
City:. SEBASTIAN State. FL
Zip Code: 32978 Fax: 772-589-1304
Phone No. 772-589-1.2999
E-Mail: AMERONH@AOL.COM
State or County License: CRC057392
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
M _
-4. l ^•
SUPPLEMENTAC•CONSTRU.CTION LIEN 1AW,INFORMATI'ON:
DESIGNER/ENGI
X Not Applicable
Name: ARTHURF.PRIEP
Address: 8530 U.S. HIGHWAY 1, SUITE 8
City: micco State:
Zip: 32976 Phone:772-663-6991
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
FL
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY: x_Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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. i .
25gnaftUre of awn er/L ee/Contractor as Agent for Owner S�gnatu of
er
STATE OF FLORIDA STATE OF FLOR A /n� --
COUNTY OF �t� l (uyL Q.1 �-?/V COUNTY OF q. duly- P' p,/L,
The forgoing instrument was acknowledged before me
this day of 20 L:�by
1A_e�r
(Name of person acknowledging)
J&.,h _J4 , 1�
(Si n ture of Notaryub is - State of lor' a
/)
Personally Known ✓ OR Produced Identification
Type of Identification Produced
The forgoing instrypent was acknowledged before me
this —[-k day of 20 L by
BUT)
l ir'awT 1ult
(Name of person acknowledging
.(5i 9f0i re of Notary
'Pub e-e
Public- Statfffarid'a )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.
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MY COMMISSION # C
Revised 07/15/2014
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MY COMMISSION #
REVIEWS
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SUPERVISOR
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VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
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