HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE
Date: //r,
i
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDMANNED Permit Number: no-1.
O�oo
M BY
SN, Lude County
Building Permit Application RECEIVED
Planning and D velopment Services Jlll Y 2 2018
Building and Co a Regulation Division Permitting Department
2300 Virginia enue, Fort Pierce FL 34982 St, Lucie couht�
Phone: (772)II462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT A LICATION FOR: Window/door E:
PROPOSEOIMPROVEMENT LOCATION:
Address:
Legal De:
5 (o 5, l-. Ley((fw Cl rclo !p-. /� 3
. The Sands -Section 1-Phase 1 BLDG1- Apt 1103 (OR 1597-1742)
Property Ta ID #: 1425-605-0003-000-
Site Plan N Ime: z/
Project Na e:
Setbacks Front Back: Right Side: Left Side:
DETAIL D DESCRIPTION OF WORK:
Replace Sliding Glass Door
Lot No.
Block No.
CONS�fRUCTION INFORMATION:
AdditignalworKtobenertormedunder this permit —check all tbat apply: S,!!, L
( VAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11, Ilectric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total
Cost
1. Ft of Construction:
Construction: $ ODO
S Ft. of First Floor: _
Utilities:cnSewer Septic
Building Height:
OW�ERAESSE£:
CONTRACTOR: -
Nar4e °
Name: DOi) J±in yk_
Address: l�r - i f d �k-
Company: Don Hinkle Construction, Inc
Address: 0 15, CLtm
Cit �Lg�u��, c'L lC� State:
_
Zip Code: lY2 Fax: �`"'S '
i y: 0 � ' ! C a State: FL
Phone No.
Zip Code: 34982 Fax: 7721167-1348
E Il�ail:_ A f/%�
Phone No. 772-528-2249
Fi l in fee simple Title Holder on next page ( if different
E-Mail: donhinkle@bellsouth.net
f l m the Owner listed above)
State or County License: CGC036040
of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPP,�EMENTAL
CONSTRUCTION LIEN -LAW INFORMATION:
DESIG
ER/ENGINEER:
x Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Addre s: �+l
iwwR e
ddress:
City:
t
State:
/City: State:
Zip: I
Phone
722
Zip: Phone:
FEE SI
PLE TITLEHOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name
Name:
Addr
s•
Address:
City:
City:
Zip: Phone:
Zip: II Phone:
I
OWNS / CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify hat no work or installation has commenced prior to the issuance of a permit.
St. Luci County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structu e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cons! I eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acco� ance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foll I wing building permit applications are exempt from undergoing a full concurrency review: room additions,
access structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr ements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befor the first inspection. If you intend to obtain financing, consult with lender or an attorney before
corn I encing work or recording vour Notice of Commencement.
Sign ure of Owner/Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STI� E OF FLORIDA
STATE OF FLORIDA
COI NTY OF
COUNTY OF
The orgoing instrument was acknowledged before me
this day of 20_ by
The for oing instrue as acknowledged before me
day of to 20 ff by
this m
0 OA) J �kzc_
Name of person making statement
Name of person making statement
Per onally Known OR Produced Identification
Personally Known K. OR Produced Identification
Ty of Identification
Type of Identification
Pr uced
Produced
(Si nature of Notary Public- State of Florida)
d
•,••ti►i,�?';'•• MICHELE RETHERFORD
Co mission No. (Seal)
Ait1'.COMMISSION#GG192725 (Seal)
i;° EXPIRES: April13,2022
,Pe BondedThruNotary Public Underwrlters
VIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
D TE
R CEIVED
13 TE
C MPLETED
8/2/17