HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED.o
Date: I (2' (� Permit Number:
. M.
L! G E
Building Permit Application DEC 12 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FI-34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPQSED IIVIPROUEMENT LOCATTION h
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Address: 8208 Lakeland Blvd.
Legal Description: Lakewood Park -Unit 8-Blk 87 Lot 5-Less E 20 ft- (Map 13/02N)
Property Tax ID #: 1301-608-0005-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
reroof 20 squares asphalt shingles and 15 square low slope mod. bit.
Lot No. 5
Block No. 87
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CONSTRUCTION IN;FORIVIATION
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Additional wor to e e orme under
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this permit —check
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apply:
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�HVAC
Ei
Gas Tank
Gas Piping
Shutters
Q Windows/Doors
Electric 0 Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 22605.00
Utilities:Sewer D Septic
Building Height:
01NNE°R%LESSEE
-
CONTRACTOR t
Name Jeanette Pohl
Name: Raquel Swanner
Address: 8208 Lakeland Blvd.
Company: The Home Depot
City. Ft Pierce State: FL
Zip Code: 34951 Fax:
Phone No.
Address: 6500 NW 12TH Ave. Suite 110
City: Fort Lauderdale State: FL
Zip Code: 33309 Fax:
Phone No. (754) 224 - 2010
E-Mail:
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CCC1331113
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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CONSTRUCTION �IE�I,LAW
I�IFORRMATI�N
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�SfIJPPLEMENT�IL
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
State:
Zip: Phone:
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 inte�rimr to obtain financing, consult with lender or an attorney before
comm work or recortinR yoiKWotice of Commenc nwnt. /1 n /,
Signature
Lessee
STATE JM;-FLO RI DA
OF
The forgoing instrument was acknowledged before
me this 9 day of Per, , 20 17 by
- ( 45"1 SAVL"r
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
License Holder
STATE OF FLORIDA
COUNTY OF
The for oing instrument was acknowledged before me
this I f day of 09C— 20_17 by
Plot g L'L4�1
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07/15/2014
TIMOTHY R.
EXPIRES: August 7, 2021
Bonded Thru Notary Public underwriters
No.
TIMOTHY R. O'MALI
EXPIRES: August 7,
Bonded Thru Notary Public I - 'iers
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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