HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONry ALL APPLICABLE INFO MUST BE C&,,_, 4ED FOR APPLICATION'' -TO BE ACCEPTED / p�
Date: LQ '� % % Permit Number: / (1 (o
RECEIVED
Building Permit Application JUN 1 9 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: To Select from dropbox, click arrow at the end of line
PRO POSED -IMPROVEMENT -LOCATION
Address: 9418 Avenel Lane
Legal Description: Pines at The Reserve Lot 36
Property Tax ID #: 3322-502-0042-000-5
Site Plan Name: Arline Bilbo
Project Name: Arline Bilbo
Setbacks Front Back:
[DETAILEDID, ESCRI, PTIOU'OF' WORK:
Solar Pool Heating System
Right Side: Left Side:
Lot No.36
Block No.
`CONSTRUCTION INFORMATION
itiona wor to e e orme under this permit— check
[1HVAC 0 Gas Tank ❑Gas Piping
all
apply:
Shutters
Q Windows/Doors
_
Electric 0 Plumbing
Sprinklers
E Generator0
Roof Roof pitch
Total Sq. Ft of Construction:
2400.
Sq. Ft. of First Floor:
D
Cost of Construction: $
Utilities:
Sewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR: ,
NameArline Bilbo
Name: Robert Tryon
Address:6481 Avenel
Company: Tryon Plumbing Inc.
City: Port.St Lucie State:F1
Address: 925 Wagner PI
Zip Code;.'34986:: Fax:
City: Ft Pierce State: FI
Phone No.77, '2162053
Zip Code: 34982 Fax:
E-Mail:. �� `"� "51 i 57 D
Phone No. 7724650284
Fill in fee simple Title Holder on next page (if different
E-Mail: tryon10@aol.com
from the Owner listed above)
State or County License: cfc058068
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI _ _ LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: 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 lender or an attorney before
commencing work or recording your Notice of Commencemept, —�
Signature of Owner/Lessee/Contractor as Agent f r wner
Signature of Contractor/LiceWse Holder
STATE OF FLORIDA
STATE OF FLORIDA
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COUNTY OF St Lucie County rNo>
COUNTY OFstLudecounty
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The forgoing instrm, ent was acknowledged be
The forgoing instrument was acknowledged before me
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this day of 20 %b� o
this 19 day of June 20 % 7 by
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(Name of person acknowledge(g) m
(Name of person acknowledgi
(Signature off tary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
(Signature of No�&fy Public- State of
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