HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA LE INFO MLIAT BE COMPLETED FOR APPLICATION TO BE ACCEPTED Nos-OO&C
Date: IJ ������ Permit Number:
BY� p.G RECEIVED
- -------- Luel.e �� � MAR 61 2018
Building Permit ApplicationU n. o Department
Planning and Development Services L.Ote County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
c
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION: , i
Address: %2 q I n ; ar-' rl �e - SA . L u '1 c . 3
Legal Description: Lcr� �; Pa' l ?l pi -�hirwai Londinqs
Property Tax ID #: 3-6 2— Z 5 (30 -' (DV 0 Lot No.
Site Plan Name: / ` Block No.
Project Name: (� GG
Setbacks Front _3 . 1 Back: 31,71 Right Side: Left Side: (P-5
DETAILED DESCRIPTION OF WORK:
NEW SFR ,3��, ��- IC�
4
CONSTRUCTION INFORMATION:
Additional work to be nertormed under tispermit-c check all
[napply: r
WIHVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors L
Electric 0 Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: 't10�Jr S . Ft. o First Floor: �(oZ� ur�r t, 2eTo"P_
Cost of Construction: $ loo 006 Utilities: Psewer [ eptic Building Height: Zz o
OWNERAESSEE:
CONTRACTOR:
Name
AS &URC10)
,L Q-0,rvle-5-15i krn
Name. Karen Gordon
Address: ? ZA5 6vt.P L4 e. Cfrde- -1 1 l4
City:- iV1P_( 6 uroe_ State:R_LA
Zip Code: Z21-9 Fax:
Phone No.
Company: Paradise Homes Group
Address: 575 NW Mercantile Place #109
City: PSL, State: FL
Zip Code: 34986 Fax:_3%2 "(D% -TA014
Phone No. 772-621-4663
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Permitting@ParadiseHomesFL.com
State or County License: CGC1518913
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN =LAW .INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTG GE COMPANY: _ Not Applicable
Name: Gomm ctp)-T
Addr ss: l'�a-vn to►J
Address:
City: Vc,Ctn c f- P.rl Stat : FL
Zip: 3MO�)_Phone: I
City: W►,n j-'P_�
Zip: 3 i
v44-
Phone:,^
State:
Zgl���'icfiU
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
x Not Applicable
Address:
City:
Address:
City:
Zip: Phone:
Zip:
hone:
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
commencin-- work or recording vour Notice of "Commencement.
nature of Owner essee/Agent
STATE OF FLORIDA
COUNTY OF 'ST ucte_
The forgoing instr=pnt was acknowledged before me
this Uclay of 20 V�5 b-
(Name of person acknowledging"] -
(Signature of otary1Pub�lic- tate of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
( Paula E.
m Comission No. f S NOTARYF
_STATE OF
Revised 07/15/2014
re of Contractor/License
STATE OF FLORIDA
COUNTY OF -GT Lu_ci f_,
The for oing instrumen was acknowledged before me
this day of 20 1_5 y
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
mission No.��
Expires 3/14/2020
Paula E. O'Brien
�OTARY PUBLIC
STATE OF FLORI
Expires 3/14/2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
j
COMPLETE
1t of
INITIALS