HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR AP LICATION TO BE ACCEPTED
Date: APRIL 25,2018 SCANNED Permit Nu
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Building Permit Applicati I
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721462-1553 Fax: (772) 462-1578 Co mercial
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PERMIT APPLICATION FOR: ToSelectfromJ I ropbox, click arrow at the end of line
PROPOSED I APROVEMENT LOCATION':,_,-�
Address: 2828 IROQUIS AVE FORT PIERCE,F`L�34946
Legal Description: RANGE 40E TOWN 34S SEC 2' P BLOCK 55 LOT30
Property Tax ID #: 1428-702-1206-000/3 Lot No. 130
Site Plan Name: ROBERT ROSBURY Block No. 55
Project Name:
Setbacks Front Back: Rig t Si e: Left Side:
-OF-WORK.--,
DETAl- ON-
5/12 PICH,TEAR OFF OLD SHINGLE,NAIL DECk, 8 PENNY31TANIUM PSU-30,THAN METAL 26 5V-
METAL
CONSTRU. ION,-JNF_ORMA-TION:_
Additional work to be nertormed under this permit— check all
0
n
apply:
E1HVAC
GasTank
0Gas Piping
Shutters
Windows/Doors
11 Electric 1:1 Plumbing
E]Sprinklers
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction: 20sq
Scl. Ft. of First Floor:
12000
12000
Cost of Construction: $
Utilities []Sewer
0
Septic Building Height:
-PWNE VILESS
CONTRACTOR:--
11, I'll 1- _ " .1.1 - rl 11, -
------- RUBER_
Name
JuFfff'O'CANNON
ame: JOHN G.GANNON
Company:
2828 IROQUOIS AVE
Address:
7901 U1 FRUS PARK BLVD.
Address:
.. FORT PIERUE
City: State:
34946
Zip Code: Fax:
FORT PIEHUE i-L.
City: State:
I — 34951 772-468-0=
Phone No.
Z�p Code: 772-468-0= Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page if different
E� jgcannonroot(a-)icloud.com
Xail: 29914
from the Owner listed above)
ate or County License:
if value of construction is $2500 or more, a RECORDED Notice ot Coalmencement is requirea.
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DESIGN ER/ENGI N EERf Not Applicable
MORTGAGE COMPANY: Not Applicable.
Name:
Name:'
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifV that no work or installation has commenced prior to the is'suance of a permit.
St. Lucie jCounty makes no representation that is granting a permit�will authorize thegermit holder to build the subject structure
which is in conTliCt with any applicable Home Owners Association r6les, bylaws or an 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 Ad St. Lucie County Amendments.
The following building permit applications are exempt from underg�� ng 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 Commence*nt 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.
Sigh �-r1ff`—dfZ&htractor/License Holder
Signat e of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORPA
COUNTY OF-S-k.
COUNTY OF
Ing instrument was acknowledge# before me
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The Ing instrument was acknowledged before me
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day P 20_K by
day of t 4' V\ 20N'N by
this of %N
a �A V\ C at -IN NNo
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Name of person making statement
Name: of person making statement
Personally Known OR Produced Identification
Perso ally Known OR Produced Identification
Type of Identificat
Type of ldent?,,ation
k- L
Produced
Produ�ecl 10
D,_MMA,�,IARIE GNEt4E
(Signature of Nota .1 e
Ot
Commission Ni Ekndod'ThT pubril G
(Signatu)re of Nota bli -
D.F-MNAmARIEGNENS
Commission No 4 0?2023
r_xftES: uarernber 16 2020
Bonded Thru T-10tary Pub"o Un6p
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17