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Home My WebLink AboutBUILDING PERMIT APPLICATION\ i i ALL APPL ' ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED IQ Date: 0 Permit Numb :ii� .�.■�..r_ SCANNED VY Widing Permit Application Planning pd Development Services Building a d Code Regulation Division 2300 Virgin�ia Avenue, Fort Pierce FL 34982 Phone: (7�/2) 462-1553 Fax: (772) 462-1578 Commercial RI 80?1 �'�� iiM[ '�Xi•C` 'Ohpfr •ptiA•1' AUG 13 2,^,;3 Permitting Department St. Lucie C',unt` j FL PERMIT �, PPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: 1q,681 ORANGE AVE FT PIERCE FL 34945 Legal Descr tion: 123538 BEG AT INT OF W LI OF E 112 OFNW 1/40FSW:1/4ANDS RNV LI OF ORANGE AV RUN E 25 FT FORPOB TH CONT E 16,PFT THS 20OFT TH W 150 FT TH N 20OFT TO POB[0.69Aq[OR337-26301 Property Ta I ID #: 2212-321-0015-000-1 Lot No. Site Plan Na' e: Block No. Project Na �: LONNIE Setbacks ront Back: Right Side: Left Side: I(? 7D' f,V S � a'oa� I n - W/ 0�2L Ply �7 � SA-ee,i— �, 1, rn I� hod Al Alw;15 % %V udV_ `� '1S , y' �,� rvv 14 M-o p -rJ P-t JAdditional w; rk to be 11HVAC ertormed under Gas Tank this permit — check Gas Piping all apply: Shutters Q Windows/Doors _ ElElectri 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft o Construction: 4000SQ S . Ft. of First Floor: Gost of Const' action: $ 20450.00 1 Utilities: Sewer El Septic Building Height: 10, NameLONNI J D DEPRIEST Address:1668 ORANGE AVE City: Fi PIER E State:FL, Zip Code: 34d,45 Fax: Phone No.772I971 5205 j I i E-Mail: Fill in fee simp a Title Holder on next page ( if different from the Own' r listed above) Name: ESTELA RENTERIA Company: CASA BLANCA CONSTRUCTION INC Address: 467 S FLAGLER AVE City: POMPANO BEACH State: FL Zip Code: 33060 Fax: Phone No. 954 422 2504 E-Mail: ESTELAH5555@GMAIL.COM State or County License: CCC1326556 If value of const'i;Nction is $2500 or more, a RECORDED Notice of Commencement is required. Cly I ce St. L whit stru In cc in at The I acce WA imp befi rnw SIGNER/ENGINEER: _ Not Applicable me: LONNIE D DEPRIEST dress:16681 ORANGE AVE FT PIERCE FL 34945 y: FTPIERCE State: Phone SIMPLE TITLE HOLDER: Appl BONDING COMPANY: Name: AVE Address: City: Phone: Zip: Phone: MORTGAGE COMPANY: Name: ESTELA RENTERIA Address: 16681 ORANGE AVE City: POMPANO BEACH Zip: Phone: ress: 467 S FLAGLER _Not icable — Not Applicable State: _Not Applicable 'NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I fy that no work or installation has commenced prior to the issuance of a permit. icle County makes no representation that is granting a permit will authorize the permit holder to build the subject structure hljs in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such :tuire. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. nVeration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work co,,dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. ol�owing building permit applications are exempt from undergoing a full concurrency review: room additions >sory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use af�ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for o ements to your property. A Notice df Commencement must be recorded and posted on the jobsite Ire,,the first inspection. If you intend tolobtain financing, consult with lender or an attorney before me,ncing work or recording your Notice of Commencement. n of Owner/ Lessee/Contractor as Agent for Owner STATE�OF FLORI ��QQ COUNZOF �5F&JC 6a n y The forn gg instrument was acknowledged before me this ,,day of D 4 20H by ame of person making statement Persona4,, Known OR Produced Identification Type of Identification Produced 17) re of Contractor/License Holder STATE OF FLORIDA COUNTY OF -S`1`��, The forgoing instrug�nent was acknowledged before me this day of CJU CJ 20 /9 by Name of person aking statement Personally Known person Produced Identification Type of Identification Produced �Slgrlature'of Notary Pub l - Signature c Jose RENTER A Commission) No. My �0N#G ommission No. II ••' b� wIRE& l •,��oQ••• ��P4bIIC �111d�eYRbe.. I REVIEWS I FRONT ZONING SUPERVISOR PLANS VEGETATION COUNTER REVIEW REVIEW REVIEW REVIEW DATE RECEIVED II DATE COMPLETEQI !v.8/2/17 of FlorigO EREN>t>g�q ��-.:6tYE� #GG2aT3p6. o;:a�' gglded lSr 20?Z SEA TURTLE MANGROVE REVIEW REVIEW