HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST
Date:
BE COO'
St Lu
BOO
Planning and Development Services
Suliding and Code Regulation Division
2300 VirginiQ Avenue., Fort Pierce R 34982
Phone, (772)462-155-3 Fax: (772.)462--111578
t APPLICATION TO BE ACCEPTED
NNED Permit Number:
BY RECEIVED
;ie County
S Permit Application MAY 0 12018
ST. Lucie County, Permitting
C.ornmercipil Re5idlenflal
I PERM IT.APPLIC—ATION FOR: Siding I I
Address: 4107 Smokey Pines Ct., Ft, Pierce,
Legal Description,
ion, HOLIDAY PINE85/Q_PH
Property Tax IQ #:
Slte'Plan Name:
Prolect Name.; BLAIR
Setbacks Front, Back.
Install James Hardie Siding & Soffits
Ill.-, L.OT529 (MAP 14118N) (OR 0112.1263)
Right Sidg: Left Side;
entire house.
H.VAC Lj Gas Tank 1-1 jGas Piping
Electric pipmWlng %SprinkIvs.
Lot No,
Block Noi
Shutters, Windows/Doors
Generator REX)f = R99f pitch
Total Sq. Ft of Construction: tF:t f First Floor:
Coat of Construction: 23,0Q0 Utilities: U SoW Pr, septic Building Height:.
Height:.
John Blair, Owner
Address: 4107 SmoKey Pines Qt.
City, Ft. Pierce FL
State:
Zip Code: 34951 Fax-,
Phone No, (772) 465-4422 r.
ri-moll: blalyde@bellsouth.net
pill IvI fee 5imple Title Holder on next pa �Sp 4 if different
from tho Owner Listed above)
Is 5Z.500 or raore,
Name: Michael Holeman
Company; Holeman Inc.
Address,. 2 2'N. U-5 Hwy 1, #17
City: Tequesta
Zip Cod 334Q9 Fax; (501) 743-3787
Phone No. (661) 743-0087
enrimarieQholemanino,conj
State or County Lleense:
P
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address: I
Address:
City: State:
City: State:
Zip: Phone: I
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address: !
Address:
City: I
City:
Zip: Phone:
Zip: Phone:
I
I certify that no work or installation has commenced 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
in Home Owners bylaws that may restrict or such
which is conflict with any applicable Association rules, or and covenants prohibit
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 Bu�lding Codes and St. Lucie County Amendments.
The following building permit applications are exempb from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, s gns, 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 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 our Notice of Commencement.
000� "2
s
Signature of Contractor/License Holder
Signat a of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORID
STATE OF FLORA
COUNTY OF M
COUNTY OF 41 M $fAal
The forgoing instru ent as acknowledged efore I e
The forgoing instru ent was acknowledged before me
5 1
thik& day of 20 (.Eby
F
this') day of 20 by
4�4LJi,."7 `A_
( e of person ack ledging)
(Na e o erson acknowledging)
§e!�77
Signature of taryPublic- t e of Florida) I
(S gnat a of NotaryPubli State of Florida )
ersonally Known OR Pro ed ntification x
Personally Known OR Produced Identification
Type of Identification Produced —it t ,��g��e��
Type of Identification Produced
I
Commission No. 1
mmission No. GO - L S 3 Se I)
.01A,,` MARIE CLAUIX JEAN RAPT
E,z SOPHtA ETEAI•
CommissiorNi GG 41551 ' a
CeremissM s OG 154743
Revised 07/ 15/2014 My oomm. expires 0d. 24, 2020 � .� Mr Cmm. Expires Oct 25 2021
IINNNI,
I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
I
DATE
COMPLETE
INITIALS
�
I