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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:," I 5�� Permit Number: in Building Permit Application Planning and Development Services OCT Z 6 2017 Building and Code Regulation Division PER"HITTING 2300 Virginia Avenue, Fort Pierce FL 34982 St. uciR County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �. /./ ,✓. //, ,'i ,i ;�,i//�o //,�..,,i„,/%�////,///%�///�j%/,////j/////i�//%//,�//�/�i//%///�/i/%r%/�///mil%///�5//�/y/ Address: 6507 DORIS DR FORT PIERCE 34951 Legal Description: LAKEWOOD PARK -UNIT 8-B BLK 2- LOTS 1 AND 2 Property Tax ID #: 1301-610-016-000-5 Lot No. 1 &2 Site Plan Name: BQNSALL Block No. 2 Project Name: BONSALL'S PV Setbacks Front. Back: Right Side: Left Side: INSTALL SOLAR PHOTOVOLTAIC SYSTEM 1�ffiiwwim 0, E1HVAC Gas Tank Gas Piping ❑_ Shutters Q Windows/Doors _ 0964c 0 Plumbing Sprinklers 1-1 Generator F]Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 18,500.00 Utilities:cnSewer 0Septic Building Height: /�� �� ,r :., / ,,, /; g/.✓/i,//' ,%�i�/j/////�%/!%/' //i�/%,,; �i��//� �/��®�r!�j/�%/'. d///%�%/�� NameARNOLD BONSALL Name: RAYMOND MEAD Company: LSCI INC Address: 6507 DORIS DR City: FORT PIERCE State: FL Address: 4625 E BAY DR STE. # 305 Zip Code: 34951 Fax: City: CLEARWATER State: FL Phone No. 772-429-2817 Zip Code: 33764 Fax: 727-683-9854 E-Mail: Phone No. 727-571-4141 Fill in fee simple Title Holder on next page ( if different E-Mail: PERMITS@SUNTECSOLARENERGY.COM State or County License: CVC056656 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: JOHNALGER Name: Address: City: State: Address: 4105 SAINT JOHNS PKWY City: SANFORD State: FL Zip: 32771 Phone: 800-929-3919 Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x_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 ender or an attorney before commencing work or recording vour Notice of Commencement. /J Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORI COUNTY OF The forgoing instrument was acknowledged before me ��►'�` this day off 4�n 20 '7 ( by Q`' _O15, PILAR HERNAN4Z (Name of person acknowl (Signature of NotarState of Signatufee of Contractor/License Holder STATE OF FLORIDA COUNTY OF ©.S'ee a-o— oing instrument was acknowledged before me day ofI%(!`i'o20 l`7 by MEAD (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known xx OR Produced Id'efitification Personally Known xx OR Produced Identification Type of Identification Produced Type of Identification Produced f 1 r� asW P%�Notary Public State of Commission No. {Seal) Commission No. 3CPoC3$� 1 . WANDACORTES My Commission GG 1 Expires0812012021 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS