HomeMy WebLinkAboutBuilding Permit ApplicationL.,.-",w=
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:4� Permit Number:
AUu 0 1017
RECEIV`
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 IV/ —
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Building '!
PROPOSED IMPROVEMENT LOCATION:
Address: 2300 Canoe Creek Lane, Fort Pierce, FL 34981
J/ n
Legal Description: 2300 Canoe Creek Lane, Fort Pierce, FL. 34981 (Lot 7)
Property Tax ID #: 340470100070000 Lot No.7
Site Plan Name: Block No.
Project Name: 6'�
Setbacks Front Back: JQ3. �'l Right Side: ( Left Side: _
DETAILED DESCRIPTION OF WORK:
Single Family Residence�el/3
�6
[CONSTRUCTION INFORMATION:-`.
Additional wor to p.enertormed un er this permit- check all apply:
RIHVAC Shutters Windows/Doors
Gas Tank Gas Piping _
ZElectric 0 Plumbing Sprinklers E]Generator Roof 5 Roof pitch
Total Sq. Ft of Construction: O 54 S . Ft. of First Floor:
olp( 1J r Utilities: Sewer Septic Building Height: C90
Cost of Construction: $ , _
OWNER/LESSEE:
CONTRACTOR:
Name JohnnyRambo
Name: Tony Groza
. may'
'Address: 1 eirele- 58I"11 t� onV T)ir,
Company: Groza Builders,lnc.
City: PI0-rce State:L-A— L
Address: 511 SW Port St.Lucie Blvd.
City: Port St.Lucie State: FL
Zip Code: 74666 9732t�q ax:
Phone No. 3 $ -7 DLe - q(O �_7
Zip Code: 34953 Fax: 7723362272
E-Mail:" o -SCE f c� acl. r_a-
Phone No. 7723367653
Fill in fee simple Ti a Holder on next page ( if different
E-Mail: Tony@grozabuilders.com
State or County License: CGC1524734
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of
Commencement is required. ` l j 4
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
IT.*IEel ►14:7LV► Eel 1►144:i;•
Name: wal Tech
Address:1040 Harbour Drake Drive
City: Punta Gorda
Zip: 33983 Phone
941-628-0635
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
State: FL
Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 you intend to obtain financing, consult with lender or an attorney before
I. uIIIIIIC11l,lllm vvulll VI IIn-ul U111V YVUI Iwt.lk.0 VI 1.u11111 m l IL.CI I ICI I L.
(- ) L P, 1,' & &;64-w aqut4o S
re of Owner/qesseeyOontracfor as Agent for Owner Si ature of Contract r/License Older
STATE OF FLORID � .-w STATE OF FLORID} LU C
COUNTY OF , l��C'i� COUNTY OF
The forgmng instrument was acknowledged before me
this ay of MAW 20 LTby
knmy-n
(Name of person ack owledging )
04A
(Signature of NAAary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced LA'DL O05 AP -
Commission No.171: gNGIE FINLEY
. MY C A09SION 0 FF936804
EXPIRES November 117,200
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this _i5' day of 20 q by
(Name of person acknowledging)*
(Signature of Notary Publj to of Florida )
Personally Known ✓/ OR Produced Identification
Type of Identification Produced
Commission No. t.JO n<
I BRIANNA GRAHAM
COMMISSION #GG089
05
EXPIRES: APR 02, 202
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