HomeMy WebLinkAboutBUILDING PERMIT APPLICATION•
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: april,10 2018 �,1�f+ �,rt�(
+U�VvD�j0�6� Permit Number:
• 1 RECEIVED
Building Permit Application APR 10 1010
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982 yes
Phone: (772) 462-1553 Fax:-(772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED. IMPROVEMENT;LOCATION: .
137 QUEEN RD.
Huur eab.
Legal Description: SEC 14/TOWN 34S/RANGE40E MAP ID 14/14S
Property Tax ID #: 1414-701-0174-000-6
Site Plan Name: JULIA KALV
Project Name: JULIA KALV
Setbacks Front Back:
DETAILED,,DESCRIPTION OF WORK:.
TEAR OFF OLD SHINGLE ROOF AN
HVAC Gas Tank
Electric _ Plumbing
Total Sq. Ft of Construction: 4400
Cost of Construction: $ 16000.00
Lot No.
Block No.
Right Side: Left Side: _
4"
NTALL NEW'', 5 V METAL 6)
Gas Piping _ Shutters _ Windows/Doors
_ Sprinklers _ Generator Roof
Sq. Ft. of First Floor: 4400
Utilities: _ Sewer _ Septic Building Height: 8
OVVNERAESSEE
CONTRACTOR:
NameJULIA-rW�Vi :;
Name:
Addres •, s� i �1"I 371"QH-EN "` `�'
Company:
City: _E. Y State:
RUS PARK BLVD.
Address:
FORT
City: State:
_
7.
Zip Code: Fax.
Phone No. � T
34951
Zip Code: Fax: -468-02%�
E-Mail:
Phone No. 772-4680202
Fill in fee simple Title Holder on next page ( if different
E-Mail: jgcannonro0 IC oU .Com
29914
from the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Gommencememt is requirea.
DESIGNER/ENGINEER: A Not Applicable MORTGAGE COMPANY: n Not Applicable
Name: COOK&MENARD ARrHT Name:
Addr Address:
City. State: City: State:
Zip: 64900Phone: 7724607751Zip: Phone:
FEE SIMPLE TITLE HOLDER: A Not Applicable
Name: _
Address:
City:
Zip:
Phone:
BONDING COMPANY: " Not Applicable
Name: _
Address:
City:_
Zip:
Phone:
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 oftommencement 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 your Notice of Commencement.
re of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instru ent was acknowledged before me
this CQ day of 20 -14y
(Name person acknowledging )
re of Notary Public- Stag of Florida
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Seal)
Notary Public - State of Florida
My Comm. Expires Dec 20, 2018
Commission # FF 177249
re of Contra
STATE OF FLORIDA
COUNTY OF
er
The forgoing forgoing instrument was acknowledged before me
this -At- day of 20 A by
Q�W� � E�Lh
(Na of p son acknowledging )
'(Si�tA of Notary Public- State o Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. lr",,"
LAS':��r11, INGRAM
y c tray e ��
Notary Public - State of Florida
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3 __`` �_ * _ Fn, r Fx i rs Dec 20 2018
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commission ,d FF 177299
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Bonded through National Notary Assn.
+ unorninr.uo'�-,nn,Irdotary
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