HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR AP*BN TO BE ACCEPTED
Date: May .2018 I MAYI, Permit Number:
r By PerMitting Department
LUCIe Cn,IY"te 1 St, Lucle county
Building Permit Application
Planning and Development Services j
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
MAY 2,11010
'"1€€09 ®apartment
19t, Lucia County
Residential xxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRO:POSED.IMPROVEMENT, LOCATION..•
,
Address: 4919 TAMOKA COURT, FT. PIERCE, FL 34951
Legal Description: HOLIDAY PINES S/D-PHASE II-B- LOT 333
Property Tax ID #: 1312-801-0136-000-2 Lot No._
Site Plan Name: Metal refoof Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
,DETAILED :DESCRIPTION.OF:WORK
elf4er'Y1 a ve- s'Gi i �� le-c- /Jew /lo ce
7L.�1 sa le S -- GL / yam- _V 0 p
I:,4- — Vic_. / 6 o yS> 1-1 N cue-/�y�e�%L _1-1%
�CONSTRUCTION,�INfORMATION ,
Additional work to e e orme under this permit- check a apply:
�HVAC 13 Gas Tank E]Gas Piping _ Shutters a Windows/Doors
0 Electric El Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: 4800 sq ft S . Ft. of First Floor:
Cost of Construction: $ 14,000 Utilities: Sewer D Septic Building Height:
QWN;ER/LESSEE
CONTRACTOR:
Name Noreen Hayes
Name: RAY VILLANOVA
Address:4919 Takoma Court
Company: VILLANOVA CONSTRUCTION INC.
City: Ft. Pierce State:FL
Address: 2908 OLEANDER BLVD
City: FT. PIERCE State:FL
Zip Code: 34982 Fax:
Phone No.
Zip Code: 34982 Fax:
E-Mail:
Phone No. 772-940-6654
Fill in fee simple Title Holder on next page ( if different
E-Mail: rayvillan@aol.com
from the Owner listed above)
State or County License: CCC 1327240
IIf value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea. I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: f .
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name- Wime
Address Address:; T
City: Ft. Pierce State: City: FT. PIERCE - State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:2908 OLEANDER BLVD
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
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, 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 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
rnmmPnrina wnrk nr rprordinp vour Notice of Commencement.
Contractor/License Holder
Signat a of Owner/ Lessee/Contractor as Agent for Owner
Signaturdkof
STATE OF FLORID�_�� �Q _ a
STATE OF FLORJDA/ �Q9
COUNTY OF OC�e� ��
COUNTY OF oC
The forgoing instrument was acknowledged efore me
efore me
The for oing instrument was acknowledgTby
MAY
this day of MAY 2012 by
this day of , 20
�
//:
rJ7LGL U��IG���
me of person making statement
#ame of person making statement
Personal y Known FOR Produced Identification
Persona y Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
HIRLEY K. EM
ig ature of Notary Pub ' - State o'��r-w6v�
EWEARature No - 55
o ission
1��Commission
••..
No. / Expires May8, 2020
Commission o.
uro FaiOnded
T11ro Troy Fain In
unnce A0— — - -1!
REVIEWS
FRONT
ZONING
SUPERVISOR
P S
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
1 W
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17 I�.