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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �v l g - / Permit Number: Building Permit Application JUN 19 2017 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: PROPOSED IMPROVEMENT LOCATION:. Address: 5258 Ebbtide Way, Ft. Pierce, Florida 34949 Legal Description: Ocean Resorts Co -Op 56 "OR 2560-1475'3536186'3564-2152" Property Tax ID #: 141050200560000 Site Plan Name: Ocean Resorts Co -Op, Inc. Project Name: Setbacks Front10 Back: DETAILED DESCRIPTION OF WORK: Right Side: 0 Left Side: 8ft Lot No. 56 Block No. Installation of new deck per engineer requirements 0-7 ,�✓d , 4yC r.Svn c eel e . !r CONSTRUCTION INFORMATION: 11HVAC Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: under 1005 Cost of Construction: $ 2200 finis permit —ci ❑Gas Piping Sprinklers all apply: _ Shutters IGenerator S Ft. of First Floor: _ UtilitiesInSewer ElSeptic QWindows/Doors 0 Roof Roof pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name Grace Fry Name: Robert L. Smith Address: 5258 Ebbtide Way Company: Smith Homes Inc P Y� City: Ft Pierce State: A Address: 2903 Industrial Ave Two Zip Code: 34949 Fax: City: Ft Pierce State: FL Phone No. 404-259-9865 Zip Code: 34946 Fax: E-Mail: Phone No. 772-461-9222 Fill in fee simple Title Holder on next page ( if different E-Mail: smithomes@aol.com from the Owner listed above) State or County License: CRC005706 IT value or consiruction is >/suu or more, a KrCOKUhU Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNED/ENGINEER: Name: ���� �� _ Not A,p"lica"blue �� i� w ' ��,�, MORTGAGE COMPANY: _ Not Applicable Name: Address: Address•' City: 0- Zip: hon o!aL=1 State: � `%-- ©%/Z City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Not Applicable Name: Address: Address: City: Zip: Phone: City: 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 commencing worK or recoraing your Notice of Commencement. Signature of Owner/Less STATE OF FLORI COUNTY OF The forgoing instru this J6 Jday of !e/Contractor as Agent for as N� was ackn wledged before as A z d UJ 20 �7by m i c) .. 6� (Name of person acknowledging) Qtth4n' /�� (Signature of Nota ublic- State of Florida ) Personally Known Z Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 (Seal) � s Sign ture of Contractor/License Holder STATE OF FLORIDfbefore-_ Cq COUNTY OFTr The forgoing instr nt was acknowledgthis day of 20 (Name of person acknowledging) (Signature of Not Pub ic- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS