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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^ Date: 11/6/2017 Permit Number: RECEIVED Building Permit Application NOV 0 7 2017 Planning and Development Services PEfl.M1171NG Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578' Commercial Residential x PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOS©V ED IMPREIVI.ENT IaCAT)C►N, Address: 101 EL MAR DRIVE Legal Description: // 3 7 `f/ f✓2-om S-I J 60/z/v Lo T 4,�-D /3&-;�Cp G1_V)g c0L_arJ.k Property Tax ID #: q 51 I - 1 I O — DOU 5 too- 5 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front 7® Back: �f2 Right Side: 7 7 Left Side: f O bZ� rff,oy) tia� a.i,.d a&Lct C Haa►tionai worK to o. errormeo unaer tnis permit- cnecK an appry: 0HVAC Gas Tank Gas Piping Shutters I1 Windows/Doors Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch i Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 1700 Utilities:Sewer E]Septic Building Height: Name Jeremy Wheeler Address: 101 EL MAR DRIVE City: Jensen Beach State: FL Zip Code: 34957. Fax: Phone No. _ E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) t Name: JD Geisler Company: Florida Gas Express, LLC Address: 1650 S Kanner Hwy City: Stuart State: FL Zip Code: 34994 • Fax:?72-781-1128 Phone No. 772-781-1127 E-Mail: gm@getfloridagas.com State or County License: 26515 If value of construction is $2500 or more, a kECORDED Notice of Commencement is required. J DESIGNER/ENGINEER: _ Not Applicable Name: Jeremy Wheeler Address:101 EL MAR DRIVE City: Jensen Beach State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Ad d ress: 1650 S Kanner Hwy City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name' JD Geisler Address: 101 EL MAR DRIVE City: Start State: Zip: Phone: 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. 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 u intend to obtain financing, consult with lender or ar}�ttorney before commencing work �[ecor in &our Notice of Commencement, A / I 1 G Signatu of Owner/ Lessee/Contractor as Agent for Owner Signa ure of Contractor/License Holder STAT OF FLORIDA ST E OF FLORIDA COON: OF s� e,l�, COUNTY OF `4 The f oing instru acknowledgedhefore me this'A day of 20� by The Jgefore me ininstrume v acknowledgVby thisday of �/� 20 —14eI S Lce, , Name of person making statement / Name of person making statement Personally. Known OR Produced Identification ✓ Personally Known OR Produced Identification Type of Iden ' ' ion Type of Identon Produced Produced L ✓�%�— �— (Sign ature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission No. ,gig-,. KAREN jsq%yELSEN # FF 115637 Commission No. ..., AREN S. LSEN Commission :* �= My Commission Expires ,��,, �n,- _ Commission # FF 115637 o• •9 June 12 201 g :, ,� My Commission Expires -.,,, � , L .nnm• �mm��a SEATUIrTLE REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION N R VE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED _- Rev. 8/2/17