HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO M ST BE COMPLETED FOR AP LICATION TO BE ACCEPTED I
Date: SOM NEO Permit Number:
St Luci County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
APR 2 7 2018
ST. LuCle County,
mmercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED INI`PROVEMENT LOCATION:
Address: 7210 SHANAS TRAIL PORT SAINT LUCIE F' 34952
Legal Description: BT. ocle C74"En[S A4 36 �8W 2 M ie.s F1'0F W 1 ,2 OF LOT q '/. 2S.4c
I AW 34 24nt OR 3579-1185
Property Tax ID #: 3414-501-1009-250-5 Lot No.
Site Plan Name: Block No.
Project Name: 6
Setbacks Front 156 • b� Back: 128. `1"_ Right Side: 76• W Left Side: 76. ,7
DETAILED,DESCRIPTIONOF WORK:. ,4 ,
i nlsT� c.t, r s x 2/ x l2. OPE g EL 61-0l ON C ROUND
r;t/1/0EL&C7R/C -t 140 PLl/M8IN4 *A
CONSTRUCTION INFORMATION
Additional work to be nertormed under this permit check all tER apply:
E1HVAC LJ Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
11 Electric 0 Plumbing OSprinkl rs Generator Roof Roof pitch
Total Sq. Ft of Construction: 37* S . Ft. of First Floor:
Cost of Construction: $ 6 33 91 08 UI tilities: 0 Sewer 0 Septic Building Height:
OWNER'AESSEE:
I `
CONTRACTOR:,`
Name
Name: DAMES P1-4YER1
Address: 1 -1-71b
Company: C/6-7 : C-4RP0R-T_S-4'VymfHERE
City: �� State:,
Address: PO t3OX 7710
Zip Code: 4-qKo-- Fax:
city: 67 IP <E State: FL -
Phone No. '0
Zip Code: 32.09 1 Fax: 35z- y68 -11 o
�2I"1�.
E-Mail:
Phone No. 352^�68.-j!l
Fill in fee simple Title Holder on next page (if different
E-Mail: cJSPEA&11 SFIAD C7MH1L., COAJ
from the Owner listed above)
State or County License: C.8C./2S/99 S'
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
2SUPPLE'MENTALCONSTRUCTION LIEN LAW
INFORMATION
,
DESIGNER/ENGINEER: _ Not Applicabl'
Name SECHT01- EaCIINEEAlnl4
Address: 605"I e-si- M'W-_._ &QW -4VEMOE
City: AE1, AID State: FL
Zip:32720 Phone —r
MORTGAG _Cp1fQPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: _ Not Applicabl
Name:
Address:
City:
Zip: Phone:
BONDINMOANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is her by made to obtain a permit to do the work and installation as'indicated.
I certify that no work or installation has commenced prior t 3 the issuance of a permit.
St. Lucie County makes no representation that is granting a 3ermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assoc ation 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 No tice of Commencement 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 Co�nmencement.
Povl� gd�iq '6 C�y
Signature of Own r/ Lessee/Contractor as Agent for Own r Signature of Contractor/License'Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 9-17 1'��i� COUNTY OF gR'qDFORA
The fprgo ng instrument was acknow(edged before me
thi day of _ VVt eJ=Z_ 20 jS by
Name of person rrijaking statement
Personally Known OR Produced Identification
Type of Identification
Produced ``��������E
(Signature of Notar�Public- State of Florid gW im #GG'
!v/ i � ••mob
Commission No. (Set. •°r,p,
REVIEWS
DATE
RECEIVED
COMPLETED
Rev. 8/2/17
FRONT I ZONING SUPEF
COUNTER I REVIEW I REVI
The forg'oing instrument was adknowiedged before me
this _ring
of M.+kCW 20 l8 by
04 MES P1.-9YE
Name of person making statement
ersonally Kno _ C OR Produced Identification
Type of Identification
►,Produced
M;L) l'a.K, /WJ-L
ature of Notar
:oar °4�^ Notary Public State of Fbrida' -
nission No. Maria R Bu'eal.).,
y Commission FF 912775
of F`°� Expires 08/25/2019
V VEGETATION SEATURTLE MANGROVE
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