HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: (i , I a` ), `� , Permit Number: I `�
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 IMPROVEMENT LOCATION
Address: 10751 South Ocean Drive Lot B-7, Jensen Beach, FL 34957
Legal Description: Venture Out, Section C, Lot B-7
Property Tax ID #: 4511-311-0036-000-7 Lot No. B-7
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
,DETAILED DESCRIPTION OF WORK•.
Construction of block single family residence all impact resistant openings.
'CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit— check all that
❑✓0app y:
HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
ZElectric 0 Plumbing ❑Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: 2694
Cost of Construction: $ $474,000.00
S Ft. of First Floor: _
Utilities: Sewer ❑ Septic
Building Height: 19' 9112"
bWN,'ER/LESSEE: '
CONTRACTOR:
Name Donald L and Patricia A Snodgrass
Name: James Newman
Address:10701 S. Ocean Drive, Unit 611
Company: JWN Construction
City: Jensen Beach State: FL
Address: 1701 SE Carvalho Street
Zip Code: 34957 Fax:
City: Port St.. Lucie State: FL
Phone No. 443-949-5257
Zip Code: 34983 Fax: 772-871-9500
E-Mail:
Phone No. 772-871-9500
Fill in fee simple Title Holder on next page (if different
E-Mail: jwnconstrucbon@comcast.net
from the Owner listed above)
State or County License: 18415
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU;PPLEMENTAL'CONSTRUCTION LIEN LAW INFORMATION: "
.. DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Stiles Engineering Group, Inc. Name:
Address: 404 SW Camden Avenue Address:
City: Stuart State: FL City: State:
Zip: 34994 Phone: 772-223-9883 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
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, consultyvith lender or an attorney before
commencing work or recording vour Notice of Commencement.
ature of Owner/ Agent/ Lessee
STATE OF FLORIDA ���D COUNTY OF yy)
The foing instrument was acknowledged before me
td
hisay of 11 A 20 by
1 0 /.Y
(Name
ng )
(Signature of Notary Public- State of Florida )
Personally Known IXOR Produced Identification
Type of Identification Produced _
Commission No.
Revised 07/15/2014
of Contractor/License Holder
OF FLORIDA
r'Y OF I''Y\.f1'd1T� 2
The forgging instrume t was acknowledged before me
this ay of 20 a:>!by
/s
(Name of per/oh acknowl
of Notary Pubic- State of Florida )
Personally Known Lol-'_�OR Produced Identification
Type of Identification Produced
MYCOMNEWMAN 008 I I Commission No.
EXPIRES: April 20, 2017
S%Rffil� NEWMAN
MY COMMMISSION N EE 880008
EXPIRES: Apol 20, 2017
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