HomeMy WebLinkAboutbuilding permit applicationALL APPLICABLE INFO MUST BE
Date: . 1 Y
:D FOR APPLICATION TO BE ACCEPTU "
S6 NNED Permit Number: (Wl-f-ocarx
Bui ding Permit Application ftclelft
Planning and Development Services aPR �?Oi1
Building and Code Regulation Division per�i
2300 Virginia Avenue, Fort Pierce FL 34982 Inc
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential.'
PERMIT APPLICATION FOR: To Selec� from dropbox, click arrow at the end of line
Address: 5305 SOUTHWIND TRL FT. PIERCE 34951
1
Legal Description: 7 34 40 S 1/2 OF SE 1/4 OF NFL 1/4 OF SE 1/4 OF SW 1/4-LESS E 30 FT.-(1.15 AC) (OR 2048-875)
Property Tax ID #: 1.407-341-0040-000-2
Site Plan Name:
Project Name: FENTON'S SDHW
Setbacks Front Back:
RightSide: Left Side:
INSTALLING A 80 GAL SOLAR HOT WATER SYSTEM " NO NEW ELECTRIC"
❑HVAC ❑ Gas Tank
❑ Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 12,000.00
❑Gas Piping
❑Sprinklers
Utilities
❑ Shutters
❑ Generator
Ft. of First Floor:
❑Sewer ❑Septic
Lot No._
Block No.
❑ Windows/Doors
Roof Roof pitch
Building Height:
OWNER aLESSEE r f y
,y, %
i s �✓.:.
Name MARIE FENTON
1
Name: RAYMOND MEAD
Address: 5305 SOUTHWIND TRL
Co pany: LSCI INC
Add ess: 4625 E BAY DR STE. # 305
City: FT. PIERCE State: FL
Zip Code: 34954 Fax:
City: tiCLEARWATER State: FL
Phone No. 561-654-1791
Zip Co, e: 33764 Fax: 727-683-9854
-
Phone1 0. 727571-4141
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail:PERMITS@SUNTECSOLARENERGY.COM
State or`I ounty License: CVC056656
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEIVI'ENTAL CQNSTRU
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DESIGNER/ENGINEER: _
NotlApplicable
MORTGAGE COMPANY:
X Not Applicable
Name: JOHNALGER
Name:
Address: 4105 SAINT JOHNS PKWY
Address:
City: SANFORD
I State: FL
City:
State:
Zip' 32771 Phone: 800-929-3919 I
i I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
I
City:
Zip: Phone:
Zip: Phone: I
I
I certify that no work or installation has commericed 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 ex mpt from. undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, wa Is, 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 lof Commencement must be recorded and posted on the jobsite
before the first inspection. If you in end t4 obtain financing, consult with lender or an attorney before
commencing work or recor in o Noti a of Commencement.
Signature of Owner/Lessee/Contrac or s Agent forlOwner signatdre of Contractor/License Holder
STATE OF F!
COUNTY OF
The forgping instrument was acknowledged before
thisdrdayof Aml� \ 20\by
14
(Name of perso owledging )
(Signature of Notary Polic- State
Personally Known xx
Type of Identification Prod
Commission No.
Revised 07/15/2014
_° a-Notary
POLLY
Produced Identl
(Seal)
STATE OF FLORIDA
COUNTY OF O-Peev La_
The forgoing instrument was acknowledged before me
this /a09V"day of 2 L
off. M Notary Public State of Florida
+ � � WAIdDA CORTES
RAYMOND MEAD �� My Commission GG 138238
21
of person acknowle
State of a
2HE
on C� 125 50
12021
gnature of Notary Public- State of Florida )
sonally Known xx OR Produced Identification
e of Identification Produced
Commission No. / 3 6 ,23 9
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