HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED ;.
INFO MUST BE COMPLETED FOR APPkIbalb1 crOI13 AiCCEPTED
Permit Number: 1A U�-d3V y
RECEIVED
Building Permit Applicati n JUL 3 0 2018.
Plannin1l and Development Services
Building Code Regulation Division. ST. Lucie County, Permitting
2300 Z, inia Avenue, Fort Pierce FL 34982
Phone (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERM APPLICATION FOR: Building
PROP ' SED fM' PROVEIVIENTLOCATION:
Addres DQN42g,d lathe Cir-
Legal D scription: OAKLAND LAKE ESTATES (PB 60-14)
Propey Tax I #: 131\ = $op - 0002 - OM $ Lot No.
Site Hal n Name: Block No.
P roje , t Name: OAKLAND � ESTATES
Setb cks Front Back: Right Side: Left Side:
-D,E l,A'ILE,D--DESCRI_PTIO'N'O•F: WORK:. „
[�ln ,� �►ov►� ean� s.g�n -For c 01VINC c 4 1xkWe.
C 4STRKTION:INFO;RMATION:
AdOltional work to e performed un ert -checkis.permit a apply:
�j
HVAC 1-1 Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
Electric ❑ Plumbing Sprinklers 1:1 Generator E]Roof Roof pitch
Total Sq. Ft of Construction: S . FtFt. of First Floor:
C�+I t of Construction: $ -Z Utilities: LJSewer Septic Building Height:
II '
IIVNERJLESSEE;
CONTRACTOR:
eme NNV_TV C. ddba gnt-jays. "t.-me-s
Name:
Company: �.
ddress: \k% (Q Ce rn .S%Au
ty: C�'�s� tix\w��c�ran State: El.
ip Code: AS40 1 Fax:
hone No.- S(o\-$l�950
JiNII
Addr s: /
Clty: State:
Zip Code: Fax: g Zips
Phone No.
-Mail: �r1\e�eVr'� (a_y\Vr %y%G . LOwa
in fee simple eTitle Holder on next page ( if different
the Owner listed above)
E-Mail:om
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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'SUPPL ENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN R/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: I Name:
Addres1l Address:
City: State: City: State:
zip:
1i Phone Zip: Phone:
II
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name:Name:
Addreit
: Address:
City: I City:
Zip: 11 Phone: Zip: Phone:
I
OWNEIj,/ 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. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is n conflict with any,applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structur . 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 foil awing building permit applications are exempt from undergoing a full concurrency review: room additions,
accesso 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
impro ements to your p perty. A Notice of Commencement must be recorded and posted on the jobsite
beforr the ' t inspeIf you in;end to obtain financing, consult with lender or an � torney before
n rm ring nvnrle n rr�lina v it Nntirp of Cnmmnnramant r
I
Sign re of Owner ssee/Contractor ent as gfor Owner
Signature of Cont ctor/Lic ns Holder
ST11
, E OF FLOR
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STATE OF FLORIDA 1 \
COUNTY OF �r��1yCtY(
CO NTY OF GLI
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Th forgoing instrument was acknowledg d before me
The for oing instrum nt was a :knowledggg before me
thi day of v I' 201J by
this day of 20 113 by
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Name of person aking statement
Name bf perscyl making statement
VV
Pe sonally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(�Ignature of No
ERIKA LE RINI
(Signature of Notary Public- Stat
Commission NO�Br:a
state of Florl�§ ap$4371
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Commission No. . ' �$elgnica Schmick
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16, 2021
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RECEIVED
DATE
;COMPLETED
8/2/17