HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CO
Dat
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3,
Phone: (772) 462-1553 Fax: (772)
D FOR APPLICATION TO BE ACCEPTED
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e
,�(;ANNEG PermitNumber:-
F, RECEIVED
Building Permit Applicati n APR 2 4 2018
92 Em
52-1578 Commercial Residential x
I PERMIT APPLICATION FOR: JRoof - . I
Address: 51150RANGEAVE FT
Legal Description: 73540W75FTOFE
Property Tax lD#: 2407-312-0
Site Plan Name:
Project Name:
Setbacks Front
FL,34947
FT OF S200 FT OF N 240 FT OF NW 1/4 OF NE 114 OF SW 114-LESS AS IN ORD TAKING CA #82-627-05- (0.33 AC) (OR 1986-548)
0-7
Right Side: Left Side:
Lot No.
Block No.
I I0N- 'q,
_DESCR RTT,0N,'0,'
ETTAILED'
ecK
"�Cpvg"� K'fi 0
__Ffformetl under this per check all apply:
-A-dditional work t_0 eDe ��w�-
11HVAC Gas Tank []Gas Piping Shutters F]Windows/Doors
11 Electric Plumbing OSprinklers Generator 1z Roof Roof pitch
Total Sq. Ft of Construction: — Sq. Ft. off tFirst Floor: 1,696
Cost of Construction: $ 2,204.89 Utilities: LkIlSewerElSeptic Building Height:
I
X.
TRACTOR:
Name
Name:
Co mpany: ANDROS CONSTUCTION LLC
Address': ;5_'�; do
n sz q�,
City: :;:/"Or� (? I , State: FL
ZipCode: Fax:
Phone No. _;7 -2_
Address: 2-7D &11�4Lc
A
City: �J,pi -2 State: FL
Zip Code: 34947 Fax:
Phone No. 772-475-4915
E-Mail:
Fill in fee simple Title Holderlon next page (if different
from the Owner listed above)
E-Mail. ANDROSCONSTRUCTION@gmaii.com
State or County License: CCC1 327225
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGI NEER: X
Name:
Address: 5115 ORANGE AVE FT. Pierce FL,3
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: —
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY
Name:
Address:
Citv:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIj: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installatioi commenced prior to the issuance of a permit.
St. Lucie County makes no representati�.n 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 H o e 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.
. I
The following building permit applicatigns are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, ences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your iailu�.re to Record a Notice of Commencement may result in your paying twice for
improvements to your property.1 A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If yoy intend to obtain financing, consult with lender or an attorney before
commencine work or recordinR vour Notice of Commencement. - 1,101
-/ Lesse6_/Contracto(as Agent foi'Dwrier I SignattTre ofVO'tractor/License
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY 0 F Saint Lucie I COUNTY OF Saint Lucie
The forgoing instrument was ackno+edged before me The forgoing instrument was acknowledged before me
this 20 day of Aprii I, 20_ by � this 20 day of April 20_ by
Name of person making
Personally Known x ORP
Type of Identification
Prop Liced None
(Signature of Notary Public- SfM
Commission No.&611'5/472_—Z,
Lloyd m,constant
ment Name of person making statement
ed Identification Personally Known x OR Produced Identification
Type of Identification
Produced None
Kimberlyn M. Garwood Kimberlyn M. Garwoo(
COMMiSSiOn I GGI 75422
Commission I GG175422
Expires: January 16, 2022 -.21 Expires January 16, 2022
re of Notary Public- State of'rfori
(Seal) I Commission No46 11547.-7., (Seal)
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Rev. 8/2/17