HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFAUST BE COIF` J-' :''fED FOR APPLICATION TO BE ACCEPTED �1
Date: �/ I Permit Number: �i U P • �d
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- Building Pe�lr�9�ed►�"�l'cation
Planning and Development Services FEB: 21 2018
Building and Code Regulation Division permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie county
Phone: (772) 462-1553 Fax: (772) 462-157I 8 Commercial Residential X
PERMIT APPLICATION FOR: To Se;ect from dropbox, click arrow at the end of line
Address: 5610 Smith Ln
Legal Description: I
WHITE CITY PLAZA BLK B LOTS 5,6,7 AND f
Property Tax ID #: 3410-602-0011-000-6
Site Plan Name:
Project Name: WHITE CITY PLAZA
Setbacks Front 30' Back: 110.6'
DETAILED DESCRIPTION OF WORK:
Add pool and patio to existing residenc
Right Side: 44-9
Left Side: 43.9
Lot No. 5,6,7,8
Block No. B
CONSTRUCTION INFORMATION::`
Additional work o be ertormed under
tispermi - check
all that apply:
0HVAC Gas Tank
�GI s Piping
_ Shutters
Q Windows/Doors
Electric ❑_ Plumbing
E]S rinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction: 1.640
I
Scl. Ft. of First Floor:
Cost of Construction: $ 35,000
;I Utilities: 0 Sewer F]Septic
i
Building Height:
OWNER/
CONTRACTOR a
Name Scott Sanders PE 64781
Name:
Address: t; 41_
Company: Surfside Rockscapes
City: Port Saint Lucie /` ` State: A
Address: 904 Weatherbee Rd.
ZipCode: 34982 41 Fax: ��
City: �f �,�'(Y'b State: FI
Phone No.
Zip Code: Fax:
E-Mail: I
Phone No. 772 519 0772
Fill in fee simple Title Holder on next page ( if different
E-Mail:
from the Owner listed above) I
State or County License: R F 1 .1 !� �f
It value of construction is �Z500 or more, a RECORDED Notice of Commencement Is required.
I
i
,SUPPLEMENTAL C0NSTRU6T04LIEN 'LAW IKCIRMATION.,
DESIGNER/ENGINEER: — fyot
N am e: Scott Sanders PE 64781
Address: 5610 Smith Ln
City: Port Saint Lucie I
Zip: 34952 Phone 772 774 9086 1
I
Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
State: Ft
FEE SIMPLE TITLE HOLDER: I 'ot
Name:
Address: 904 Weatherbee Rd.
City: l
Zip: Phone:
Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
I
Zip: Phone:
I
OWNER/ CONTRACTOR AFFIDVIT: Applic
I certify that no work or installation has commei
St. Lucie County makes no representation that is
which is in conflict with any applicable Home1IOw
structure. Please consult with your Home Owner
In consideration of the granting of this reque$tec
in accordance with the approved plans, the Florii
is hereby made to obtain a permit to do the work and installation as indicated.
prior to the issuance of a permit.
ting a permit will authorize the permit holder to build the subject structure
Association rules, bylaws or and covenants that may restrict or prohibit such
ociation and review your deed for any restrictions which may apply.
permit, I do hereby agree that I will, in all respects, perform the work
a 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
commefKine work or recordine vour Notice of Commencement.
-l�'llu (tolW'
Signature of Owner/ essee/Contractor as Agent for Owner
STATE OF FLO
COUNTY OFF .2C, C -- -- -- -
The r oing instrument was acknowledg before me
this day of F�� , 20 by
Name of p r making statement
Personally Known OR Produced Idl
Type of Identificati n
(Signature of N ry P lic State of Florid
Commission NJT 616_0 (,
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
COMPLETED
Rev. 8/2/17 ,.
DANYELJONES
MY COMMISSION # FF 198907
EXPIRES: June 12, 2019
fi I I.— V , — T
Signature of Contractor/License Holder
STATE OF FLORW
COUNTY OF �
The forgoing InstruMent was acknowledge before me
this day of — — 20 by
Name of pepeq making statement
cation Personally Known Y, OR Produced Identification
Type of Identificatt n
Produced
AL 14Q
(Signature o ota ub 'c- State of Florida )
Commission Nof± (Seal)
SUPERVISOR PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW REVIEW
7(�
DANYELJONES
MY COMMISSION # FF 198907
MANGROVE
REVIEW
t{fn, 6xary Public underwriters