HomeMy WebLinkAboutbuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/19/17 Permit Number:
RECEIVED
Building Permit Application DEC 2 12017
Planning and Development Services
Building and Code Regulation Division PER.K.11I17IIdG
2300 Virginia Avenue, Fort Pierce FL 34982
St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Siding
PROPOSED- IMPROVE MENT,LOCATION
Address: 12785 NW Mariner Court, Palm City FL 34990
Legal Description: Mariner Village Harbour Ridge -Plat 4-Unit 8
Property Tax ID #: 4425-603-0020-0000-4
Site Plan Name:
Project Name: Fish
Setbacks Front Back:
Right Side:, Left Side:
Lot No.
Block No.
DETAILED, DESCRI'PTION`OF WORK =}
Install Hardie Lap Siding and New Windows
1914
CONSTRUCTION INFORMATION k . _
Adcutional work to jeperformedunder this permit— check a apply:
❑HVAC L_J Gas Tank F_JGas Piping — Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator F]Roof Roof pitch
Total Sq. Ft of Construction: S . FtFt. of First Floor:
Cost of Construction: $ 43,000.00 Utilities: 1y I Sewer 0 Septic Building Height: 1
OWNER%LESSEE
CONTRACTOR
Name Robert Fish
Name: Doug Buys
Company: GYM Construction Inc.
Address: 690 SW 34 Street
Address:12785 NW Mariner Court
City: Palm City State: FL
Zip Code: 34990 Fax: M NIA
City: Palm City State: FL
Phone No. 508-344-3878
Zip Code: 34990 Fax: NIA
E-Mail: RLF01742@gmail.com
Phone No. 772-263-9294
Fill in fee simple Title Holder on next page (if different
E-Mail: 9ym.construction@yahoo.com
from the Owner listed above)
State or County License: CBC1257602
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION ;LIENIAW INFORMATION, r
DESIGNER/ENGINEER: _ Not Applicable
N a m e: Braden and Braden AIA PA
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address: 417 Coconut Avenue
City: Stuart State: FL
Zip: 34996 Phone 772-287-8258
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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
commencing work or recording your Notice of Commencement.
LA— L -X_
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 51-Le.c0_r --e_
The for oing instr ment was acknowledged before me
this /� day of eee ypiber 20J_J by
gobeirIf r—..s ham .
Name of person making statement
Personally Known OR Produced Identification
Type of Iden 'fication
Produced 1Ue&6'Dr+ I%gs L'e-eWS,
of Notary Public- State
Commission No.lks "
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S (,, Q 9(�
The f going instrument was acknowledged before me
this n5day of`TVOl )@ c , 20n by
n
a e of person making statement /
Personally Known OR Produced Identification N
Type of IdentificatiIon
Produced ��CXIAA 1vw-er lJ1mr-ae
" Notary Public State of IQQr�id�a�
;4 ) Rozanne Marie Glo dv4 rr
p C My Commission GG 157135
'lia0 Expires 1110il2021
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of Notafly Public- State'' of
Sa i No.( o "I
SUSANJAW RS
Notary Public - Slat o lorida
Commission N GC 09 14
My Comm. Expires A r 2021
Bonded lhrounhN.Gi .,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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