HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr,
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ALL APPLICABLE INFO MUST BE COMPLETED
Date: 03/2T/18
APPLICATION TO BE ACCEPTED
Permit Number:
tED
` �°u°itc�'ing`�"eiimit ApplicationLMPlanningand Development Services AR 2 19018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 �1 �®tlflkYr P�PIIE41hg
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: MATTHEW J.CONEY
Legal Description: SEC/TOWN/.
Property Tax ID #: 1301-606-0025-0
Site Plan Name: CONEY RES
Project Name: MATTHEW CONEY
Setbacks Front Back:
11 Peel anti seal
Right Side: Left Side:
Lot No.25
Block No. 57
Aaaitionai worK to oe pertormea unaer tnis permit— cnecK aii tnat apply:
_ HVAC _ Gas Tank _ Gas Piping _ Shutters /Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator ✓ Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 35 Q9 y Sq. Ft. of First Floor:
Cost of Construction: $ 12000.00 I Utilities: _ Sewer _ Septic Building Height:
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NameMATTHEW CONEY
Name: JOHN G. CANNON
Address:8303 FORT WALTON RD.
Company: JOHN G.CANNON
City: FORT PIERCE State:
Address: 7901 CITRUS PARK BLVD
Zip Code: 34951 Fax:
City: FORT PIERCE State:FL
Phone No. 772-466-1275 !
Zip Code: 34951 Fax:
E-Mail:
Phone No. 772-468-0202 CEL772-201-1771
E-Mail: JGCANNONROOF@ICLOUD.COM
Fill in fee simple Title Holder on next!page ( if different
from the Owner listed above)
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State or County License: CCC1330664
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:I
City: State:
Zip: Phone
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Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Appl`f
cable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address: I
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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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 Biilding 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 vour Notice of Commencement.
of
STATE OF FLORIDA
COUNTY OF
as Agent for,' Owner
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The forgoing instrum nt was acknowledged before
this C9. ( day of 20_LL by
Name of person making statement
Personally Known OR Produced Idei
Type ofld tificat�,on�,rl��� r7b
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(SignatNr]j of Not-a-rVPu liq,<-Xof Floride*EY FI
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Commission No Coo-B!W in#
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t of Florida
167258
ac 11, 2021
NotaryAssn.
of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF I�-
The forgoing instrum nt was acknowledged before me
this �Z day of 20,M by
6-A�L a a a'XL0V- I
Name of person making statement
Personally Known OR Produced Identification
Type of Idepia�tification DILL r.
(bignarNotaTyruDl-�t-a',V,t•lonaatASEYFRENCH
<1% Notary Public - State of Florida
Commission No / Ctt((+9"g n#GG167258
My Camm. Expires Dec 11, 2021
Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
COMPLETED
Rev.8/2/17