HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AF LICABLE INFO MUST BE COMPLY-ccFOR APPLICATION TO BE ACCEPTED. - 1
Date: l8 ) -7-18 Permit Number:
SCANNED
RECEIVED
BY
Buil Lucia CDUVV ing Permit Application AUG 0 7 2018
PlannjLg and Development Services ST, Lucie Coutlty, Par►rtlti!
Bu' 1 and Code Regulation Division
2300 irginia Avenue, Fort Pierce FL 34982
Phon (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT
APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROP
r SED IMPROVEMENT LOCATION,.,`y
Legal
OF
Prope
2339 5. HOCK Koad Fort Pierce FI. 34945
cription: MODEL LAND GO'S S/D 23 35 39 THAT PART OF LOTS 7 AND 8 IN NW 1/4 LYG E
4PK R/W-LESS S 165 FT AND LESS E 30 FT RD R/W - (6.40 AC) (OR 4125-2213)
Tax ID #: 2323-501-0026-000-4 Lot No.
Site Pla " Name:
� Bath Remodel
Project ame:
Front Back: Right Side: Left Side:
Block No.
III�'DETAIEQ DESCRfPTI0Na0.F 1NORK
Removi'l existing tub, tub surround, shower control, vanity and top, vanity faucet, mirror, flooring, rear
bath d or, and toilet. Frame in rear door opening. Install ceramic tile walk in shovyer, shower door, bath
vanity nd top, vanity faucet, mirror, flooring, and toilet. �_Wzlle !/R-lifi'y IFy4 1 W& f1d'allc
I„CON'S RUCTION„ LNFORMITIO�I
i 11 Total
Cost of
ai worK to ne nerrormea under tnis permit— ci
AC L__I Gas Tank E]Gas Piping
ctric 0 Plumbing Sprinklers
Ft of Construction: 130
onstruction: $ 10,000
Shutters l.1 Windows/Doors
Generator ❑ Roof . Roof pitch
S Ft. of First Floor:
UtilitiesSewer Septic Building Height:
OWN
`JR/LESSEE
m
CONTRACTOR
Name
" nY Giloert
Name:
• oc oa
Address)
City: FPierce
Company:
Address:
State: 1-1
Zip Cody
_
Fax:
City: State:
Phone
Zip Code: Fax:
,gI e o mal .COm
E-Mail:
Phone No.
Fill in fe
from th
simple Title Holder on next page (if different
I� Owner listed above)
E-Mail:
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
P
SULEMENTAL
n �...
ECONSTRUCTi G INN LAW INFORMATION
..' i rf iH�.nM^ e.. n .,.. A.: � ... ..>. . �. r. ,..n .r n � .•ixv r,rl. .... .. r> x ,.,'.r . 2 � G. � e er Imo. "� '
DESK
Nam
NER/ENGINEER: _ Not Applicable
I:
MORTGAGE COMPANY: _ Not Applicable
Name:
ss:
Addr
Address:
State:
City:
City: State:
Zip:
Phone
Zip: Phone:
FEE S
MPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Nam
Addr
Name:
Address:
ss:
City:
City:
Phone:
I
Zip: Phone:
Zip:
OWNEi / CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie1County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is I n confflict 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 actor ante with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foll Wving building permit applications are exempt from undergoing a full concurrency review: room additions,
accessor structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARN NG TO OWNER: Your failure to Record a Notice of Commencement may, result in your paying twice for
impro ments to your property. A Notice of Commencement must be recorded and posted on the jobsite
before he first inspection. If you intend to obtain financing, consult with lender or an attorney before
Comm ncing work or recording your Notice of Commencement.
11AZ
IZ-/ Azo
SigAit
re of Owner Lessee/Contractor as Agent fo
0 r 4e
Signature of Contractor/License Holder
Jo
STAT
OF FLORI
STATE OF FLORIDA
COUI
TY OF
m
COUNTY OF
The f
ing instru nt was ack owledge afore
The forgoing instrument was acknowledged before me
this
day of 20JO by
T W'
p"
this day of 20_ by
Na06 of person making statement r�
Name of person making statement
Perso
,gam
Ily Known OR Produced Identificat ,r
Personally Known OR Produced Identification
Type
Prod u
Identificatio , a
-ed �Cn f) ( ��
Type of Identification
:Rroduced
I
(Signs
lure of Not Public- State of Florida) U
(Signature of Notary Public- State of Florida )
Comm
3,51on No. (Seal)
Commission No. (Seal)
REVI.WS
I
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
I
0
RECEI
ED
,
DATE
COM �[
ETED
Rev. 8/2Y17