HomeMy WebLinkAboutBUILDING PERMIT APPLICATION100
ALL APPL I ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: la �$ l5�`Permit Number: Spa-�3a3
�r
Wrmit application
Planninjjl and Development Services
Building Pnd Code Regulation Division
2300 Vi inia Avenue, Fort Pierce FL 34982
Phone: t772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIII II � APPLICATION FOR: Building o%eSqk ;
PROPs OSED IIUIPROVEMENT LOCATION
Address'1I� 2305 Atlantic Beach Blvd, Fort Pierce, FL. 34949
l
Legal D cription: REV PL OF FORT PIERCE SHORES -UNIT 5- BLK 35 LOT 12 (OR 3593-1736)
II
ProDeJ, Tax ID #: 1436-602-0027-000-5
Site PIA, Name: Goulet Garage /Game Room
Project ame: . Goulet Garage / Game Room
Setbac's Front Back: 'Right Side: Left Side:
J
DETD DESCRIPTION OF,WOUX.z`
NEW baraae with Game Room
CONSTRUCTION IN`FORNIATION µ
Lot No. 1
Block No. 35
Additi nal work to be ne orm ed under
�. VAC Gas Tank'
tispermit—c ec
❑Gas- Piping
a
appy:
Shutters
Windows/Doors
Electric 0
-[]Sprinklers
❑ Generator
Roof
Plumbing
Total Ft of Construction: 1082 ..;
S . Ft. of First Floor:. 522
IIq.
Cost 9 Construction: $ 89,500
Utilities:
Sewer
lSeptic
Building Height:
O)NN ER/LESSEE
CONTRACTOR71
Nam:1 William & Keara Goulet
Name: Karen Gordon
Company: Paradise Homes Group
Addr, ss. 52 Fernandina St
City:.; i ort Pierce,. State: FL
Address:.575 NW:Mercantile .Place #109
City:' PSL, State: FL
Zip de: 34949 Fax: "
Pho No.
Zip Code: 34986 Fax:
E-M il:
Phone No. 772-621-4663)J�
Fill i fee simple Title Holder on next page'( if different
E-Mail: Permitting@ParadiseHomesFL.com
fro the Owner listed above)
State or County License: CGC1518913
If val'1 a of construction is $2500 or more, a RECORDED Notice of Commencement is required.
i
SUPPLE�,ENTAL
C0NSTRUCTI0 LIEN LAW INFORMATION; ;
DESIGNER'
Name: Step,
Address: 5
City: Cocoa,
Zip: 32927
ENGINEER: _ Not Applicable
an E. Kastner PE 0039528
MORTGAGE COMPANY: _ Not Applicable
Name: Harbor Community Bank
�0 Florida Palm Ave
Address: 4009 Okeechobee Rd,
11 State: FL
Phone: 321-403-2093
City: Fort Pierce, State: FL
Zip: 34947 Phone: '772-489-3113
FEE SIMPLE
Name:
Address: ,UI
City: III
Zip:
TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
I Phone:
I
Zip: Phone:
I certify that , no work or installation has commenced .prior to the issuance of a permit.
St. Lucie Cou � tyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in c 'nflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. PI ase consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideraton of the granting of this requested permit; I do hereby agree that I will, in all respects, perform the work_
in accordant with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The followin building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory st 'uctures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING O 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
commencr i? work or recording vour Notice of Commencement.
s
Sien ure 8f Owner/ Lessee/Aeent � Signat re of Contractor/License Holder
STATE OF' ILORID`A, STATE OF FLORIDA
COUNTY I,IF. sy/�,z;Z COUNTY OF
The f r oink instrument was acknowledged re me
this dajr ofn�h-� 20 aby
04
(Name of pq, pon acknowledging.)
Notary Public- State of Florida )
Personally Known OR Prod ced den fication
Type of [den 'fication Produced �i�
DAMES CLASSY
Commission',I o. WTARYPUBLIC
o STATE OF FLORID
W
Revised OI /15/2014 Expires 2/20/2018
The Mroing instrument wals-acknowledged before me
th isay, of DP ram(kn20 L<by
(Name -of person acknowledging)
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Corn JAMES CLASSY
mission No. WOTARYPLI "
Suc
STATE OF. FLORIDA
Expires 2/20[Zf148>;
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE.
COUNTER
REVIEW
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DATE
COM PLETE
INITIALS