HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: I'V o • 04-1 1
RED,. NEE
�__��iiiiiii0 Building Permit Application JUN 2, 2017'
Planning and Development Services PERMITTING
Building and Code Regulation Division ✓ St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982 �1
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
PROPOSED IMPROVEMENT LOCATION?
Address: XXXX Hickory Drive, Ft Pierce, FL 34982
E
Legal Description: INDIAN RIVER ESTATES - UNIT 07 - BLK 46 LOT 9 (MAP 34/02NANDS)(OR3997-2510)
Property Tax ID #: 3402-608-0204-000-9
Site Plan Name: XXXX SW HICKORY DRIVE
Project Name: COOPER - INDIAN RIVER ESTATES LOT 9
Setbacks From Ba Right Sid l f "� LeftSide _ 1 1- 9
DETAILED DESCRIPTION OF WORK:,,
New Home Construction
S
Lot No.9
Block No. 46
CONSTRUCTION INFORMATION: ,
Additional work to e nertormed under tispermit—checka apply:
R]HVAC 0 Gas Tank ❑Gas Piping _ Shutters ✓Q Windows/Doors
Electric RI Plumbing Sprinklers ElGenerator R1 Roof 6 12 Roof pitch
Total Sq. Ft of Construction: 1666 AL16 S . Ft. of First Floor: 1666 ALA
Cost of Construction: $ 141,000 UtilitiestSewer R1 Septic Building Height: 187
OV1/NER/LESSEE:
CONTRACTOR:'
Name Cooper Enterprises 4.0, LLC
Name: Stewart Cooper
Company: Cooper ENterprises 4.0, LLC
Address: 2511 SW Regency Rd
Address:2511 SW Regency Rd
City: Stuart State:FL
Zip Code: 34997 Fax:
Phone No.772-600-5300
E-Mail:stewart@cooperentllc.construction
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
City: Stuart State:FL
Zip Code: 34997 Fax:
Phone No. 772-600-5300
E-Mail: stewart@cooperentllc.construction
State or County License: CBC1260066
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
J.'SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: T Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 wodc-or-recording vour Notice of Commencement—
Ownq/Lesse%Contractor as Agent for Owner `j'Signature
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 1 Ur-Vln COUNTY OF J1/) p r 1-11)
The for oing instrurrWnt was acknowledged before me The forgoing instr�{ment was acknowledged before me
this day of Jun 0 20 Lby this it day of tL? , 20 1'7 by
1 _S4_e. V_01 r fi C o a� o f S -t�e w�, r C 0() P L'�-
(Name of person acknowledging) (Name of person acknowledging)
co� cti"z
(Signature of N6tary Public- Seate of Florida) (Signature of Not Public- State of Florida )
Personally Known OR Produce Identifi ation V Personally Known OR Produced Identifi ation I/
Type of Identification Produced FV V it Type of Identification Produced P L- bf
Nw� /,I'
Commission No. +R�"0 CODY ENBURG Commission No. :N� . CODY(( ENBU G
COMM SSI N # FF903690 Y C WMISSION # FF903690
EXPIRES July 27 2019_„ EXPIRES July 27 2019
Revised 07/15/2014
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