HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �]
Date: SCANNED Permit Number: 50 1 ' dL) aA
-St LUCie COUnk C E I V E D APR`2 3 2015
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 Commercial Residential X
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 7005 Santa Rosa Pwy Ft Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 11- BLK 148 LOT 20 (MAP 13/12N) (OR 3716-103)
Property Tax ID #: 1301-613-0261-000/6
Site Plan Name: 7005
Project Name: 7005
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 20
Block No. 148
Relocate plumbing and electric in laundry room. Relocate water treatment equipment, install new
window at front, new structural siding at laundry area. New entry docrs. +
CONSTRUCTION INFORMATION:
Acid itiona I work to e e orme under this permit —check a apply: r
E1HVAC Ei Gas Tank Gas Piping Shutters Q Windows/Doors L
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 800
Cost of Construction: $'- /D, 4jv
Sq.
of First Floor: 1304
Utilities: L_I Sewer O Septic
Building Height: 12'
OWNER/LESSEE:
CONTRACTOR:
Name St Lucie Habitat for Humanity
Address: 702 S 6th Street
City: Ft Pierce State: FL
Zip Code: 34950 Fax: 772 464-4377
Phone No. 772 464-1117
Name: St Lucie Habitat for Humanity
Company: St Lucie Habitat for Humanity
Address: 702 S 6th Street
City: Ft Pierce State: FL
Zip Code: 34950 Fax: 7724644377
Phone No. 7728341904
E-Mail: cluedke@stluciehabitat.org
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: cluedke@stluciehabitat.org
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN1 LAW ['INFORMATION:,
GINEER: _ Not Applica
Name: Sorhab Kennanj
Address: 12350 Golden Eagle Street
City: PortSt Lucie
Zip: 34987 Phone:
7724181417
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State: FL
x Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Mot Applicable
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
commencing work ol;x,-,cording your Notice of Commencement.
s
;ign�atiure of Owner/ Lessee/Agent 75ignature of Contractor/Lic-e-n—se-Ttofder
STATE OF FLORI A STATE OF FLORID
COUNTY OF N . COUNTY OF��IA-Cle—
The forgoing instr meni was acknowledged before me
this2- day of 20 Lby
(N of person acknow mg
ure of Notary Pub ic- StAi
Personally Know
Type of IdentificWo"
Commission No.
Revised 07/15/2014
of Florida )
Comm. kg@ffl Aug 20, 2111
Commission # FF 3701e
The forgoing instrument vyas acknowledged before me
this day of 20 Ll;__ by
(Name of person acknowle
ture of Notary PubTi
Personally Know
Type of Identific lo.1c
Commission N
of Florida )
cation
uuNNA WEATHERINGTON
tary Publlc($WaI� of Florida
Comm E,.paares Aug 20, 201i
Commission 8 FF 37018
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