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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED BY ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Z��s1l5 Permit Number: Building Permit Application RECENE Planning and Development Services FEB.1 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Permitting oepartment Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X st.'cle C^unty PERMIT APPLICATION FOR: RenovationLi PRCtPQSED IM,PIR MENT LDCATI{)N }F Address: 7032 torrey Pines Cir. Port St. Lucie, FI. 34986 Legal Description: POD 7B Replat at the Reserve PUD 1 Torrey Pines Lot 34D ( Or 1805-70) Sec 22 Town 365 Rng 39E Property Tax ID #: 3322-504-0045-000-2 Site Plan Name: Project Name: Cook Water Damage Setbacks Front Back: Right Side: Left Side: Lot No.34D Block No. I Water damage repair, drywall, paint, insulation, stucco ( repair only) and gutter ( repair only) Additional work to be 11HVAC ertormed Ei Gas Tank under this permit —check all []Gas Piping apply: Shutters Q Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 150SF Cost of Construction: $ Zisoo S ci Ft. of First Floor: _ Utilities. — Sewer DSeptic Building Height: sng story' fJWNER/LESSEE: ,.,n.":. ..—..... F., ., ... .......�. F. „..�.. e...... .: ..5,,... .., ., ,,, ., ......_.....,'.. CL3NTRACTOR� { ..., s.r. ,., .f. i ., ., 5. ...t i ..F Name C.oave_ Name: David Onaviani Company: JASDINC Address: PO Box 2042 Address: 'Ze3Z City: ` 2V4 5ry l-�.rc:� State:- Zip Code: 3k9S (o Fax: Phone No. City: Jensen Beach State.,Fl. Zip Code: 34958 Fax: 772-679-0194 Phone No. 772-334-8374 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: info@jasdinc.com State or County License: FI CGC1512947 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. _SSUPPLEMENTAL`CONS.TRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: N/A Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: M, e Address. ev City: State: Address: City: enseenn @eMt State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Y Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Po Box2042 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 lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner SigNifure of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF A xfh dJ. The forgoing instrument was acknowledged before me this day of 20_ by The forgoing instrument was acknowledged before me this _a�Iay of Q 203'' by i L�,PJ,© L7C, &,)1eAt Name of person making statement I Personally Known OR Produced Identification Name of person making statement Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida) (Signatu f Notary Public- a Commission No. (Seal) Commission No. FF �y n WE�TkER Ff�FFIA Notary Public, State of �� Commission# FF 15 My comm. expires ME r. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE. COMPLETED Rev. 8/2/17 2018