HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-4-2017 Permit Number:
RECEIVED SEP 15 2017
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: To Select from dropbox, click arrow at the end of lined
PROPOSED IMPROVEMENT LOCATION r
Address: 8001 Sebastian Rd
Legal Description: LAKEWOOD PARK unit 4-Blk 28 Lot 4(Map13/11S)(OR3795-2032)
Property Tax ID #: 1301-604-0040-000-3
Site Plan Name: 8001 Renovation
Project Name:
Setbacks Front Back:
D'ETAILED,DESCRIPTION OF WORK:.
Right Side: Left Side:
Lot No.
Block No.
Install a non baring wall between garage and laundry room for adding an ac office slash laundry
room per engineers drawing approximately adding 234 sq ft under air
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit — che—Eck all tha apply:
RIHVAC l_J Gas Tank —]Gas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: 234
Cost of Construction: $ 3 : tT
_ Shutters Q Windows/Doors
Generator EJ Roof
S Ft. of First Floor: _
Utilities: 0 Sewer W1 Septic
Building Height: 15'
OWNER/LESSEE:"
CONTRACTOR(_: # ,
Name Newland Investment Group Inc
Name: Richard A. Newland
Address: 905 13th st sw
Company: Richie the Roofer
Address: 905 13th st sw
City: Vero Beach State: FL
City: Vero Beach State: FL
Zip Code: 32962 Fax:
Phone No. 772-473-6197
Zip Code: 32962 Fax: 866-610-8652
E-Mail:
Phone No. 772-464-4329
Fill in fee simple Title Holder on next page ( if different
E-Mail: richieroofer@yahoo.com
from the Owner listed above)
State or County License: CGC 1512738
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW'INFORMATIQN ,
r=
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: ^Not Applicable
Name: RichardANewland
Name:
Ad d ress: 905 13th st sw
Address:
City: Vero Beach
City:
Zip: 32962 Phone: 772147M197
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
commencing work or recording vour Notice of Commencement.
ature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this �`� day ofS , 20 1 by
Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S k- L-uc
The forgoing instrument was acknowledged before me
this %A day of Sk ?i' , 20 a_ by
Q"' c\ d. -C \ 1J -. V�' \ a wA I & '� CAN a _ dA
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pub c- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced �—' I.YDL
Commission No.
Revised 07/15/2014
�AMARIE GNENS
MY COMMISSION # GG 022023
,,pIRES: December 16, 2020
Bonded Thru Notary Public undemn
(Signature of Notary blic- State of Florida }
Personally Known ■
Type of Identificati X-bkAN6 IRARIE GIVENS
MY COMMISSION # GG 022023
Commission No.
;.PIRES:r16,2020
n ed Thru No ry #11111c Underwriters
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