HomeMy WebLinkAboutBuilding Permit Applicationy. ,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: -CA�.-\'*\A Permit Number::
RECEI�'~D SEP 117
Building Permli application
Planning and Development Services
Building and Code Regulation: Division
4300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial, Residential x
PERMIT APPLICATION FOR: To Select from dro box, click arrow at the end of line
PRi P__O.SED. M.PRQVEMENT'LOCATION:
Addressi 4906 Sunset Blvd Fort Pierce, FL 34982
Indian'River Estates Unit 07-BLK 47 LOT 11 (MAP 34/02N O
Legal Description: )R 3550-1292) ( .
Property Tax l® #:: 3402-60&0241-000-0 Lot No., 11
Site Plan Name: BAKER Block No. 47
Project Name: BAKER
Setbacks Front ......./ Back: / Right Side: Left Side: - - ......
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DETAILED DESCRIPTION OF VtiORIE•
Kitchen cabinets, drywall, and paint.
CONSTRIJ,C.TION INFORMATION:
ona v✓o e= a or:me ...under th1wpermit4c ec.. a apply..`
0HVAC Gas Tank Gas Plping .Shutters Windows/Doors
[:Electric`PlumbingSprinklers UGenerator ;Roof Roof pitch
Total Sq. Ft of Construction: 900 5 . Ft.:of First i=ioot:;. 1.,392
Cost of Construction: $16,000 Vtilitles. Sewer�L—JSeptic BuildingHelght,�_,,�
OWNER/LESSEE:
,Name Rosemarie Baker
Name: Steve Berman
Address 4906 Sunset Blvd
Company: Rapid Response Team LLC
City: Fort Pierce State:: FL
Address: 2250 N Andrews Ave
Zip Cpde: 34982 faX:
Citys Pompano Beach FL
State:
Phone No. (772) 672-1221
Zip Code; 33089 Fax;:
E-Mail laoybo_l@yahoo.com
Phone No. (954) 205-4811
Fill In: fee sirnpleTitle Helder on next page Q:lf:different
&Mail: eeddy@rrtfl.com
from the Owner listed above)
State or County License: CGC 024735
If vels 6 of sonstrmction Is $2500 or more, a RECORDED Notice of Commencement>I.s required.
,SUPPLEMENTAL CONSTRUCTION. LIEWLAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: X, 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:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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
commencine work or recordkm your Notice of Commencement.
re
as Agent for Owner
V
TLi
STATE OF FLORID % STATE OF FLORID
COUNTY OF ( 1, JA,-�R, COUNTY OF �W �
The forgoing instrument was cknowledged before me
this ?Aday of 20 aby
IF 12vJ62
E iLbS;.tnn�4-rLl1, �\�111 I I Ills f
(Name of person acknowledging) PHA
W;0..0690
TAgY•'�.
na re of Notary Public- State of Florida ): My COMM, Expire
November 15,
Personally Known OR Prc
Type of Identification Produced
Commission No. q
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this e, day of LV5 20 1 -7 by
',(lame of person acknowledging)
JSignClre of Notary
•Public- State of Florida )
terso0ly Knowny OR Produced Identification
`r e.�f i4entification Produced
�r •'••••••'' mission No.
F pF Fvo
'4.......sit%%
398.0153
EXPIRES September 4, 2017
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