HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \-Q-N \9 \7_ Permit Number: \_Xla b563
REC[:-:[V®
Building Permit Application DEC 212017
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 Repair
PERMIT APPLICATION FOR. Other
PRQP,OSEDIII ,M'P.ROVE'MENT�LOCA,,TLON:
Address: giol Paco Roblog Blvd
Legal Description: Lakewood Park -Unit 8- BLK 90 Lot 17
Property Tax ID #: 1301-608-0060-000-1
Site Plan Name:
Project Name: Sweeney Residence
Setbacks Front Back: Right Side:
Left Side:
Lot No.17
Block No. 90
VETAI'LED'IDESCR�IPTIOK0F WORK:
d_&;f 0 Y)
6 v�l- t9•-� •ems ts + + cPJ
Aacutionai wom to Do naj riormea uncier tnis permit— cneCK alb apply:
11HVAC LJ Gas Tank []Gas Piping _ Shutters a W indows/Doors
11 Electric 0 Plumbing 1-1 Sprinklers FIGenerator 1-1 Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 22,196.48 Utilities: Sewer Septic Building Height: .
',OUV,N,ER/LESS•EE:
CONTRACTOR; '
Name Tiffany K SweLmnPy
Name: Matt H. Nolton.
Address: 8101 Paso Robles Blvd.
Company: Nsquare Inc.
City: Fort Pierce State: FL
Address: 2220 Trade Center Way
Zip Code: 34951 Fax:
City: Naples State: FL
Phone No.
Zip Code: 34109 Fax: 239-514-2273
Phone No. 2. g-514-1173
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail: srieke@nsouareinc com
State or County License: CGC045302
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ISU,RPLEMENTALCON" STRU,'CTIQN,!LIEN
tAW!1N, FOR'IVIATION.-,
-
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Mark Weber PE
Address:- ' N's ate Rd 7
Name:
Address:
City: Coconut Creek
State: F_
City: State:
Zip: 34951 Phone 954-517-81Q
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
x Not Applicable
BONDING COMPANY: xNot Applicable
Name:
Name:
Address:
Address: .
City
City:
Zip: Phone:
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 len er or an attorney before
commencinia work or recording your Notice of Commencement. i
Slgn of Own Lessee/Contractor a gent for Owner
Si ire of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDqq
COUNTY OF Co II i e -
COUNTY C C,c7l�
The forgoing instrument was acknowledged before me
�eC—
The forgoing Inst ment was acknowledg before me
__"
this � day of , 20%:N by
thisk— �y of -2C_ • 20L by
'any j Sw e Rx\�
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification ✓
Personally Known �� OR Produced Identification
Type of Identification
Type of Identification
Produced �L_ OL—
Produced.
20<r�Cr;+i'•. CAROLINAITURBURU
MY COMMISSION # FF 990995
�•pY Pi
.� EXPIRES: May 10, 2020
Y
(Signature of Not S�te+xftF�rti1>I�)Oty # FF 990995
(Signature of Nota uiYfi E4�i�4i�R1bT�1�� to Public Underwriters
f g rY 9 ry
"s o; EXPIRES: May 10, 2020
Commission No. •,F•o d�q •' Bonded Thru t{550Public Underwriters
Commission No.'CF QQO�'tQS (Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17