HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 1-3-18ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / Date: Permit Number: �&-023(4
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 line
RR4P05ED°tfVl PROVEM E'NT: LOCATION
�xs
Address: 1835 20th Street
Legal Description: Ocean Resorts Cooperative Site 35
Property Tax ID #: 1410-502-0035-000-7
Site Plan Name:
Project Name: Davenport Residence
Setbacks Front 10' Back: 5'
Right Side: 5'
Left Side: 5'
Lot No. 35
Block No.
DETAILED DES(;llPNgC?F 1NORK . 4 I
Construction qT a 1,416 $F single family residence.
❑✓— HVAC ZGasTank W]Gas Piping Shutters Q Windows/Doors
❑✓✓0 Generator Roof 1/12 Roof pitch
Electric robin Sprinklers
Total Sq. Ft of Construc (ion- 1,416 S Ft. of First Floor: 956
Cost of Construction: $ �D. e;W Utilities: Sewer Septic Building Height: 16' 2"
CtWNER%LESSEE "
CONTRACTOR
Name Mr. John Davenport
Name: Same as Owner
Company:
Address:114 Rose Lane
City: Matamoras
State: PA
Address:
Zip Code: 18336-2054 Fax:
City: State:
Phone No.845-313-5657
Zip Code: Fax:
Phone No.
E-Mail:
E-Mail: laurie34@optonline.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
commencingwork or recordingour Notice of Commencement.
Rev. 8/2/17
SU'P�./[�r�C3�1S1R�CT1,iJN L1NsLA�W i�IF�i�IVIAT�CI�N�
�r�,
�
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: � Not Applicable
Name: MBV Engineering, Inc. - Mr. Rodolfo Villamizar, P.E.
Name:
Address: lase Zom street
Address:
City: Vero Beach State: F�
City: State:
Zip: s2sso Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: � Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
S' ature of Owner/ Less a/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 1Vtdi(l.M R1V.Q,✓
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 3 day of J(k,IIUQ.t�f 120 I$ by
this day of , 20_ by
Sohn haven �,br