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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL API LICABLE INFO MUST BE COIVir�ETED FOR APPLICATION TO BE ACCEPTEW Date:09/26/2016 ®G�e Permit Number: BY - - 'I""" Building Permit Application Pla' g and Development Services OCT �01� PERI'AITTING euildi ', and Code Regulation Division St. Lucie County, FL 23001rginia Avenue, Fort Pierce FL 34982 Phon;4: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PER ;!lIT APPLICATION FOR: g�J5 PROPOSED IMPROVEMENT LOCATION: } Addres 1: 10701 S. Ocean Drive Lot # 677 Jensen Beach, FL 34957 Legal D scription: Venture Out- Section C- Lot 78 (OR 3887-2350) i PropertY Tax ID #: 4511-805-0078-000-9 Lot No.677 Site P16 1 Name: Block No. Project, ame: Setbaci s Front `0.1 Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORk: ) CONSTRUCTION INFORMATION: Additio aI work to 5-p-n-e-ffo—nmed under this permit -check all tbal apply: ✓ _ H,AC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors El,lectric Plumbing Sprinklers Generator Roof Roof pitch Total Sc, Ft of Construction: n, c- D S . Ft. of First Floor: III Cost of, onstruction: $ C �G Utilities: RSewer ElSeptic Building Height: OWNER/LESSEE: CONTRACTOR Name Richard & Linda Puckett Name: Mack Matos Addred City: Jensen 10701 S. Ocean Drive Lot # 677 Company: Mel-Ry Construction Address: 10967 S. Ocean Drive Beach State:FL Zip Cole: Phone i E-Mai LI, Fill in fee from tli. 34957 Fax: o. City: Jensen Beach State: FL 34957 772-229-9440 Zip Code: Fax: Phone No. 772-229-9439 Mack@mel-ry.com E-Mail: @ ry State or County License: 059412 — O simple Title Holder on next page (if different Owner listed above) If value df construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPIEME� TAL'CONSTR DESIGNER/ENGINEER: Name Addre City: Zip: 34 FEE SI Name Addre City: _ Zip: _ Braden & Braden AIA, PA r LIEN LAW INFORMATION: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable 00©6--> D, _ Name: 417 BE Coconut Avenue t State: FL PLE TITLE HOLDER: _ Not Applicable Phone: Address: City: —State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: 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 consi" eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accor ance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The foll ing 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 i WAR _I Ments TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for impro' to your property. A Notice of Commencement must be recorded and posted on the jobsite beforelthe first inspection.If you intend to obta'Ofinancing, consult with lender or an attorney before comme'ncine work or recording vour Notice of Commencement. Owne G V,--' s Signature of Contractor/License Holder STAT(b' F FLORIDA STATE OF FLORID t , �, COUN OF Sal , Ale, COUNTY OF !, C II E The forg Ing instru��,,eent��was acknowledged before me The fo oing instr ent was acknowledged before me this day of C , 20 %C by this day of CX20 by (Name o;( persoq acknowledging) I (Name of person acknowledging ) I 1 (SignatQ e o . otary Public- State of Florida) (Signature of Notary Public- tate of Florida ) Personals Known OR Produced Identification Personally Known OR Prod c d Identification Type of Iden 'fi t I Type of Identification ProducedCHRIST�•L Commis on ' N01ary PublICINSWATO F�lorlda 1 Commission No. (Seal) - COrmnullon I .r i"i��07 my Comm. Expire Oct 12, 2020 RE Revis 0 M Commission 1t FF 115637 My Commission Expires %;;o•'� June 12, 2018 VIS REVIE FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE C 1 i INITIALS i