HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services AUG 2 8 2017
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 t kucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
Address: 11647 TWIN CREEKS DR
Legal Description: TWIN GREENS I THAT FART OF LOT 14 MPOAF: BEG NWCOR LOT 14 RUN S89 DEG 18 MIN18 SEC EALGN U SD LOT 144W FT TO FT ON CURVE CONC FLY, ROF 560 FT, CA IS DEG 54 MIN 35 SEC, TH SELYALG CURVE 155.50 FT, THS
TH SELY ALG CURVE 155.50 FT, TH E BB DEG 15 MIN 02 SEC W 487.19 FT TO PT ON CURVE CONC ELY, R OF 1040 FT, CA 09 DEG 38 MIN 50 SEC, TH NLY ALG CURVE ANDWLY LI SO LOT 14 175.11 FT TO POB (1.82 AC) (OR 1551.2905)
Property Tax ID #: 2333-601-0014-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Rudy D Morris
Setbacks Front Back: Right Side: Left Side:
A/C CHANGE OUT OF A YORK SYSTEM
❑✓— HVAC
❑ Electric
II Shutters
❑ Plumbing Sprinklers ❑ Generator1:1 Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3800
Sq.
of First Floor: _
Utilities: 0 Sewer []Septic
❑ Windows/Doors
Roof
Building Height:
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CTOR ,
Name Rudy D Morris
Name: GRETA B SMITH
Address:11647 TWIN CREEKS DR
Company: ALL YEAR COOLING AND HEATING
City: FORT PIERCE State: FL
Address: 1345 NE 4TH AVE
City: FORT.LAUDERDALE State. FL
Zip Code: 34945 Fax:
Phone No. r(rT �' L 2a- 3&
Zip Code: 33304 Fax:
E-Mail:
Phone No. 954-566-4644
E-Mail: DDANIELS@AYCAIR.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CAC058160
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
f
NER/ENGINEER: _ Not Applica
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
Not Applicable
State:
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 inspe tion. If you intend to obtain financing, consult with lender or an attorney before
commencing workrecordin vour Notice of Commencement. , 119_��
Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFSAINTLUCIE
The forgoing instrument was acknowledged before me
this 4 day of AUGUST , Zp 17 by
RUDY D MORRISL
(Name5of c
( Pure Notary Pub 'c
Personally x i
Type of Identification Produ
Commission No.
Revised 07/15/2014
;ing )
State of Florida )
IR Produced Identification
STATE OF FLORIDA
COUNTY OF BRDwARD
The forgoing instrument was acknowledged before me
this 4 day of AUGUST 20 17 by
GRETA B S
(Nam erson ac ing )
( of Notary P lic- State of Florida )
Ily Known x OR Produced Identification
Identification Produced
r r
i ssion No.
o� Sib ��
,sa%�_'kw000 n ;Al ►
S\,"" # N-
9Z\'£L� ��Od
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
RTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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COMPLETE
INITIALS