HomeMy WebLinkAboutBUILDING PERMIT APPLICATION=Jan, 22. 2018=12:43PM
ALL APPLICABLE INFO MUST BE COM
Date:
I --- No.0936=P. 1
PLF,,_ _FOR APPLICATION TO BE ACCEPTED I
4I Permit Number: N6 d5 13
I 19C 06 VOTED
BY
at �Ucie Can RECEIVED
Building Permit Applicatio
Planning and Development services
Building and code Regulation Division
23P0 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
AN 2 a 2018
La
Lucie County, Permitting
Commercial Residential X 7
Address: 8900 One Putt Place Port Saint Lucie'FI 34986
Legal Description: POD 33 AT THE RESERVE PHASE 1 KINGSMILL LOT 12 (OR 1474 -432: 1961-2454)
Property Tax ID #: 3334-500-0023-000-7
Site Plan Name: N/A
Project Name: NIA
Setbacks Front10 Back:15
SUPPLY AND INSTALL GENERAL G
61v;�''t w� ," 'V Akrr _ �-0'
QHVAC I� Gas Tank
Il Electric U Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 9,a �-
I
NameCHARLES BURNETT
Address:8900 ONE PUTT PLACE
Lot No.12
Block No.
Right Side: 6 Left Side: 6
JERATOR 2-9)CW W*4 Coyc.rr`c P44, 1m,4fVP
k 44 4 A?odi/e- %i., k'
iit-- check all apply:
Piping n Shutters Windows/Doors
nklers V Generator Roof
S . Ft. of First Floor: 2673
Utilities:'nSewer Q Septic
City: PORT SAINT LUCIE State:FL
Zip Code: 34986 Fax:
Phone No_772-468-7374
E-Mail: GENEANDJUDDYQCOMCAST.NET '
Fill In fee simple Title Holder on next page ( If different
r Ow li ve)
Name: RICHARD A. JONES
Building Height:
ti
Roof pitch
Company: RICHARD A. JONES ELECTRIC
Address: 204 N. OLD DIXIE HIGHWAY
City: JUPITER State: FL
Zip Code: 33458 Fax: 561-744-5063
phnna Nn_ 661-746-6984
E-Mail: RJELECTRIC@GMAIL.COM
state or County License: E00002685
If value of construction is $2 00 or nl re, a RECORDED Notice of Commencement is required.
Jan. 22, 2018=12.43PM i No. 0936-=P, 2
OESIGNERIENG INE . X foot Applicable MORTGAGE COMPANY;
X Not Applicable
Name CHARLe3BURNErr Name: RICHARD A. JONES
Add ress:39Do One Putt Mac* Port Saint Wcie FI349$$ Address: 99o0 oNe PUTT PLACE
City; PORTSAINrLIICIE ! State: City: JUPIMR State:
Zip: Phone I Zip: Phone:
FEE SIMPLE TITLE HOLDER: ,� Not Applicable BONDING COMPANY: AL Not Applicable
Name: Name:
Address:2D4 N. OLD DIXIE HIGHWAY 1 Address:
City: I City.
Zip; Phone: 1 Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation th4t is granting a permit will authorize the permit holder to build the subject structure
which is in conflict Wlth 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
commencjng work or recording your Notice of Commencement.
A� �-- 1 -1
k
gn ture of owner/ Lessee Contractor as Agent for Own r Signature of Contractor/License Holder
STATE OF FLORIDA ! STATE OF FLORIDA
�
COUNTY OF—-E COUNTY OF---
The fo ing instrum t was ack owledged before me The for oing Instru ent was a knowledged before me
thls,day of 20 by this day of 26A by
Name of person making statement Name of person making statement
Personally Known OR Produced catiIdentification _c Personally Known C OR Produced Identification
Type of Identifion i Type of Identification
Producedj, Qi����%5=.'1$- $•- 0 Produced
00
Z"
(5igna a of Noti (Signature ota ;
L D ZELAYA T+��Yr`� ESL ZE
LAYA
Commission No. '•+ COMMI i >if #FF765i72 Com ,ion No. ' Y CO `a�lA #FF165172
EXPIRES Octol.ber 1, 2018 ?e; FJCPIRES October 1, 2o18
REVIEWS I FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE j
RECEIVED I
COMPLETED
Rev. 8/2/17