HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: 67, -3- ) & Permit Number 0)
BY
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Building Permit Application MAY 0 8 2018
Planning and Development Services g p Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. ,L ie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R
PERMIT APPLICATION FOR: Building
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Address: 13200 NW Wheaton LN
Legal Description: RIVERBEND (PB 67-36)- LOT 1
Property Tax ID #: 4425-703-0006-000-7
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
Remodel Garage of Model
A10 ?00Gtf
Lot No.1
Block No.
Left Side:
s office. Turn baGinto SFR
RJHVAC LJ Gas Tank ❑Gas Piping
RiElectric Plumbing Sprinklers
Total Sq. Ft of Construction: i
Cost of Construction: $ .B"000,
LJ Shutters
Generator
S Ft. of First Floor: _
Utilities:]Sewer ElSeptic
Windows/Doors
0 Roof Roof pitch
Building Height:
1_
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Name Standard Pacific Of Florida
Name: Scott Harala
Address:8895 North Military Trail
Company: Standasrd Pacific of FL GP Inc
City: Plam Beach Gardens State: FL
Address: 8895 North Military Trail
Zip Code: 33410 Fax:
City: Palm Beach Gardens State: FL
Phone No.954-575-7368
Zip Code: 33410 Fax:
E-Mail:austin.sims@(ennar.com
Phone No. 954-575-7368
Fill in fee simple Title Holder on next page ( if different
E-Mail: pwxlisa@yahoo.com
from the Owner listed above)
State or County License: cgc1506052
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _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:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Installation as indicated.
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
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, 1 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 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 your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORID
COUNTY OF l`rCcL�S
The fo going instr ent was acknowledged before me
this day of 20�( by
Name of per on making statement
Personally Known OR Produced Identification
Type of Identification
Produced
STATE OF FLORIDA!,-
COUNTY OF
The forgoing instr ment was acknowledged before me
this � day of 26Z by
Name of'person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary )tate of Florida) (Signature of Nota (L- statie a#-�io�itl�
SIVAN ACHAR
;,o•. _ SIV �i 0ACHAR Commission No. �: :+= MYCOMMISSI 1�3G0829g4
Commission No.+' Y COM ISSIQN iE G00829A4 ,,; EXPIRES April 10, 2021
•:9,0. '�`EXPIRES April 10; 2021
REVIEWSFRONT ZONING SUPERVISOR PLANS VEGETATION [;EA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DA
COMPLETED
Rev. 8/2/17
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