HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
7/11q/18 Permit Number: ,$d,_ d 5K)q
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,- -� BY - -
Sit. Lud'sCOD i RECEIVED
Building Permit Application jul 1 9 ,,)9
ing and Development Services
ng and Code Regulation Division ST . Lucie County, Permitting
Virginia Avenue, Fort Pierce FL 34982
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
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IMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line JL cm }q�
PROPOSED
IMPROVEMENT LOCATION:
Add r' -s: 6105 Carlton Road
MONTOYA 2 ESTATES PB 41-15 LOT 7 8.717 AC OR 1579-1602
Legal Description: ( ) ( ) � )
P
Ir
rty Tax ID #: 3209-700-0007-000-8
an Name:
:t Name:
cks . Front Back: Right Side:
kILED DESCRIPTION OF WORK
ive existing shingle Replace w/ Metal 5V
Left Side:
Lot No.7
Block No.
CONSTRUCTION -INFORMATION:
Acidmonal work to be pertormed under this permit —check all apply:
1HVAC Gas Tank []Gas Piping _ Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
i
Tota. Sq. Ft of Construction: 2112 S . Ft. of First Floor:
Cost of Construction: $ 12,000.00 Utilities:cn Sewer 0 Septic Building Height:
I
OWNER/LESSEE:
CONTRACTOR:
Na �eJames
Address:6105
City..
& Lisa Mowers
Name: Danielle Beggs
Carlton Road
Company: Alliance Group
Address: 532 NW Mercantile PL #113
Port Saint Lucie State: _
ZipE
Phone
E-Mail:
Fill in
ode: 34987 Fax:
No.
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: 772-492-8008
Phone No. 772-492-8006
E-Mail: wanda@alliancegroupll.com
fee simple Title Holder on next page ( if different
froii
the Owner listed above)
State or County License: CCC1330918
If vali)e of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUrPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Narjne:
Address:
City:
Zip;
i
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
State:
Phone
FE
Name:
Ad c
Cip�l! P
Zi
SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
ress:
Address:
City:
•
Phone:
Zip: Phone:
OWN' ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I ce ! fy that no work or installation has commenced prior to the issuance of a permit.
St. Lu ie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whic is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct' re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In co �sideration 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 f Aowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acceslsory 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
imp'ovements 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.
re of
STATE OF FLORIDA
COUNTY OFstLucie
ctor as Agent for Owner
STATE OF FLORIDA
COUNTY OFstLucle
/License Holder
The1forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this; day of July 20J' by I this 16th day of July , 2012 by
Name of person making statement
finally Known x OR Produced Identification
of Identification
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re of Notary Public{Statfi of
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i§
(Seal)
Danielle Beggs
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
Notary
Commission No..
33
Florida) c 3 w
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(Seal) ` y
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SEA
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400
IEWS
FRONT
ZONING
SUPERVISOR
PLA
VEGETATION
TURTLE
MAN Vi
S`�'��
'
COUNTER
REVIEW
REVIEW
RE
REVIEW
REVIEW
REVIE
RECIEIVED
DATE
/
COMPLETED
Rev. 8/2/17
9
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