HomeMy WebLinkAboutBuilding Permit Application'Y
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:3 - 9(d` I J Permit NumberjSba '6D a�
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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: Buildin
PROPOSED IMPROVEMENT LOCATION:
Address: IUiUI 5 uctAN DRIVE LOT 775 VENTURE OUT
Legal Description: VENTURE OUT -SECTION C- LOT 176 (OR 1443-2595)
Property Tax ID #: 4511-805-0176-000-6
Site Plan Name:
Project Name: .33
Setbacks Front Back: _> Right Side: 4,' Left
DETAILED DESCRIPTION OF WORK:
REMOVE OLD MOBILE HOME AND BUILD ONE STORY HOME
CONSTRUCTION INFORMATION:
Aciclitional work to be performed under
ZHVAC Gas Tank
ZElectric Plumbing
Total Sq. Ft of Construction: 1238
Cost of Construction: $ 195000
permit — cnecK all mat apply:
Gas Piping _ Shutters
Sprinklers FIGenerator
Sq
. of First Floor: 1134
Utilities: SewerF�Septic
Lot No.
Block No.
QWindows/Doors
0 Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William R Ledyard & Sandra L Ledyard
Name: MACK MATOS
Address:11687 Maryland St
Company: MEL-RY CONSTRUCTION
City: Crown Point State: IN
Address: 10967 S OCEAN DRIVE
Zip Code: 46307-7155 Fax:
City: JENSEN BEACH State: FL
Phone No. 772-229-0012
Zip Code: 34957 Fax: 772-229-9440
E-Mail:
Phone No. 772-229-9439
Fill in fee simple Title Holder on next page ( if different
E-Mail: MACK@MEL-RY.COM
from the Owner listed above)
State or County License: CGC 059412. 23630
,,,.,, �, a ,... %JMIJGLF ,wucC ui wmmencemenz is requirea.
:i
.SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
WU%0X%+1-dL-n1 _ wuL 1APPIlcdDle MORTGAGE COMPANY: Not Applicable
Name: JOHN CRESWELL PE 27002 Name:
Address: 4459 SE KUBIN AVE Address:
City: STUART State: FL City: State:
Zip:. 34997 Phone: 772-215-0156
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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. _
Signature of
STATE OF FLORIDA / STATE OF FLORIDA
COUNTY OFF COUNTY OF
The f oing instrument was cknowledgedre me
this %� day of 114AMC , 2V._by
. 4 c--Po/
(Name of person acknowledgin )
i
(Signature of Notary Public -State of Florida )
ersonally Known {o4a"S018
Ty entificati drnrisrin- Mato.
My Commission EE 224190
Commission No.wti Expires 10/1 $
Revised 07/15/2014
The for ing instrument was ac nowledged�fnre me
this day of 20 � by
2212 e &--
(Name of person acknowledging)
(Signature of Notary Public- State
Personally Known
Type of Identification Prc
Commission No.
Identification
Dllc - State of Florida
Explres'Mar. 22, 201;
sion # EE 677571
Df National otary Assn.
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