HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0310112018 09:48 SAX) P.0021002
ALLAPPLICABLE INFO MUST BE COMPLETED FOR AEPLICATIONJO BE ACCEPTED
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Date: _ [By Permit Number:
I _ St Lucie C684j/
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Building Permit Application MAR 01 2
Plan»f»g and DevelopmenCServftes
Building and'Code Regulotion pivision ST, hu4i9
2300 Virginia Avenue, Fort Pierce FL 34982 County, I
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial . Residentiat x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 4606 Buchanan Or, Fort Pierce, 1=134982
Legal Description: Indian River Estates - Unit 04 - Blk $6 - Lot 24
Property Tax ID #: 3402-605-0089-000-7
Site Plan Name:
Project Name. Darren
Setbacks Front40.00 Back: 123.67 Right Side: 25.00 Left Side: 15.00
New single family constructio" „ rbd, , 3 bath, 2 cal' garage
101tionalworKtoDe errormeo uncierrmspermit--cnecKan tnai apply:
!r IHVAC Gas Tank E]Gas Piping ✓_ Shutters
Electric 0 Plumbing ❑Sprinklers Generator
Total Sq. Ft of Construction: 2876
Cost of Construction: $ ftWo `1b
5 . Ft. of First Floor: 2876
Utilities:11 Sewer 1z Septic
Lot No.24
Block No. 36
QWindows%Doors
✓Z Roof Roof pitch
Building Height:
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Address: 'nos ni-3 C__'
Company:
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Zip Coder Fax:
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zip Code: _, 4 Fax:
E-Mail: j s} A_ sm.�n
Phone No. r)')a--
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Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CK
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION °LIEWLAW'INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Summit Design & Forensics Inc
Address: 725 SE Port St Lucie Blvd, Ste 203
MORTGAGE COMPANY: _ Not Applicable
Name: Seacoast National Bank
Address: 50 Kindred St, Ste 211
City: Port St Lucie State: Fl
Zip: 34984 Phone 772-285-0572
City: Stuart State: Fl
Zip: 34994 Phone: 800-706-9991
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
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 lender or an attorney before
commencing work or recordingvyour Ngitice of Commencement.
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Signature of Owner/ Less ee/Co ritsItiftor as Agent for Owner
Sign Contrac r/License Holder
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF F_
COUNTY OF F.-
The forgoing instrum nt was ackniowledgeo before me
The for oing instru ent was acknowledged before me
�
this 1 day of 20 I - by
this day of 20� by
Name of person making statement
Name of pereson making statement
Personally Known OR Produced Identification V-,*'
Personally Known V/ OR Produced Identification
Type of Identification
Type of Identification
Produced `,,: C'
Produced
(Signature of Notary P -
(Signature of No -
Nofary Public Stet of Ftorids
Nodry PUNC Stet of Ft rida
Commission No. M U 55e
Commission No. 11- fah M 5n"M659
M Expires Ofu11=1
Expires 00111IM21
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev.8/2/17