HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFOMUSTBE COMPLETED FOR AF
Date:• / D
Building
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
)N TO BE ACCEPTED
ermit Number: 17 V ! .
8Y �yy
L86ph I RECEIVED
ermit Applicati n
APR 13 2018
Permitting Department
mercial I Rftdtbk4 FL
i
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION.:
Address: 7205 Paso Robles Blvd. Fort Pierce, Floridal34951
Legal Description: Lakewood Park- Unit 9- BLK 103 Lot 12 (MAP 13/01 N)( OR 1153-2194)
Property Tax ID #: 1301-611-0067-000-0
Site Plan Name: Shirley Cochran
Project Name: Cochran
Setbacks Front Back: 0 ' Right
DETAILED DESCRIPTION OF' WORK:
Screen Room Ca n
I Left Side:
Lot No.12
Block No. 103
CONSTRUCTION,. INFORMATION:
Adclitional work to e e orme under this permit —check a apply:
11HVAC Ei Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total S Ft of Construction• 'b� q. ,� 3 I. 1 i . Ft. of First Floor: _
Cost of Construction: $ 8,800.00 Utilities: Sewer []Septic
I
Building Height:
OWNER/LESSEE:
CONTRACTOR
Name Shirley Cochran
Name: Joseph Herrmann
Address:7205 Paso Robles Blvd
City: Fort Pierce State:Fl
Zip Code: 34951 Fax: N/A
Phone No.772-465-9251
Company: Herrmann Brother Ent. Inc.
Address: 5280 10th Avenue N, suite B
City: Greenacres State: FI
Zip Code. 33463 Fax: 561-855-61.81
e.
Phone No. 561-855-6154
HBEbuild.com
E-Mail: Laneha@HBEbuild.com
E-Mail:mdhotrodder@hotmail.com
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
Stalte or County License: CRC1330209
-If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
71 .
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Steven G. Wood PE 34398
Address:950 SW Sultan Drive I
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: Port Saint Lucie State: FI I
Zip: 34953 Phone772-878-7324 I
I
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable -
Name:
BONDING COMPANY: of Applicable
Name:
Address: I
Address:
City: I
Zip: Phone: I
I
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hei
I certify that no work or installation has commenced prior
St. Lucie County makes no representation that is granting a
which is in conflict with any applicable Home Owners Assoc
structure. Please consult with your Home Owners Associati
)y made to obtain a permit to do the work and installation as indicated.
the issuance of a permit.
�rmit will authorize the permit holder to build the subject structure
tion rules, bylaws or and covenants that may restrict or prohibit such
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 No -
improvements to your property. A Notice of Coml
before the first inspection. If you intend to obtain
commeDging work or recording our Notice of Coi
:e of Commencement may result in your paying twice for
encement m be recorded and posted on the jobsite
financing, consult ith lender or an attorney before
mencement.
'yQLJ& on4 Apt — �_
-
S gnatur of Owne /Lessee%Contractor as Agent for Owner
Co ra or/License Holder -
STATE OF FLORIDA
/Signaf
FLORIDA
COUNTY OF Martin
OF Palm Beach
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 6 day of February 20 tF by
this 6 day of February 220f,, by
Shirley Cochran
I
/�, �
g r I ,/�r l,(�-�1' C r L
Name f persop making statement
Na e o ersoy� making statement
Personally wn V OR Produced Identification
Personally Kno 11 OR Produced Identification
entification
Type o Identification
Produced
Produced
(Signature of No
-
: M. PA RICI GRIFFIN
(Signature of Nota . Publ' -
RICIA AN GRIFFIN
Commission No.
;
:': :': MY COMMISSJQM0 GG137624
;. •'.:j"" PAi
Commission No. = OMMISSI�yAgG13762
°"`•'�� EXPIRES September 26, 2021
�'y?� EXPIRES September 26, 2021
REVIEWS
FRONT
ZONING
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17