HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL A PLICABLE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �7
Date '�1 �� �, Permit Number:l$Q)l
-- RECEIVED
Building Permit Application
i s 2Cia
Plan �ng and Development Services FAUG
cie County, Permitting
Build rrig and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Pho i : (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER
IT APPLICATION FOR: Modular home
P;RO
,OSED 'IMPROVEMENT LOCATION
Addre� 5270 Beachblanket CIR Fort Pierce, FL 34949
Legal escription: OCEAN RESORTS COOPERATIVE SITE 11 (OR 3864-446)
i
Prope; y Tax ID #: 1410-502-0011-000-3 Lot No.
Site PI' n Name: Block No.
Project Name:
Setball ks Front Back: Right Side: 0 Left Side:
DET , IIED" DESCRIPTION OF WORK s A
736
CON'TRUCTION .INFORMATION:
Ad It' ma wor to e e orme under this permit — check
'VAC _Gas Tank ❑Gas Piping _ Shutters Windows/Doors
El lectric 0 Plumbing Sprinklers FIGenerator Roof Roof pitch
Total Sq. Ft of Construction: S.. 'Ft. of First Floor:
2475 I
Cost of Construction: $ Utilities: Sewer Septic Building Height:
OW
E.R/LESSEE:
CONTRACTOR:: .
Name
Addre�
City:
Zip C '
Phone
E-Mai
Fill in i
from
, eorge Purrman Deborah Purrman
Name: JAMES P FITZGERALD
Company: DBK INDUSTRIES
Address: 6560 NW 13TH COURT
: 5270 Beachblanket CIR
I, PIERCE State: FL
de: Fax:
INo.
City: PLANTATION State: FL
Zip Code: 33313 Fax:
Phone No. 8635292370
.
Oe simple Title Holder on next page (if different
a Owner listed above)
E-Mail: nancyarmstrong6l Ca)gmail.com
State or County License: CGCO59461
If value] bf construction is $2500 or more, a RECORDED Notice of Commencement is required.
IN
SUP, LEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
III
Name:
Add I
City!
Zip: �
I'
_ Not Applicable
George Purrrnan Deborah Purrrnan
MORTGAGE COMPANY: _ Not Applicable
Name: JAMES P FITZGERALD
Address: 5270 Beachblanket CIR
ess: 5270 Beachblanket CIR Fort Pierce, FL 34949
FTPIERCE State:
Phone
City: PLANTATION State:
Zip: Phone:
FEE 'AMPLE
Nam'I
Address:
City:1
Zip:
TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
6560 NW 13TH COURT
City:
II Phone:
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
Icertif that no work or installation has commenced prior to the issuance of a permit.
St. Lucia County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structu e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cons deration 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 folowing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessoli y 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
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
com 'endng work or recording our Notice of Commencement.
Signal: re of Ow er/ Lessee/Cor(tractorA Agent for Owner Signature Contractor/cicenseI
STATE OF FLORID _ STAT OF FLORID
COU TY OF COU TY OF
The f„ rgoing ins m t was acknowledgMY
fore me The for oing inst me t was acknowledged_,before me
this '' �lj ay o 20 thise19 day of 20L£Pby
— � -,--) " r rov( CJr � �q cew
Name of persorymaking stateme Name of perso akt ing statem
Perso I ally Known V OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Prods dProduced -ZDZ—
(Signal ur of No a, !ic- `*A I fillI YdMSTRONG (Signature u t aj��fg
'•: •' MY COMMISS��N FF197098 = a. fi; MY COMMISSION !E
Comrti ssion No. aM1 a`= EXPIRES Fetiruar 10, 2018 Commissio r 0 ebiva 10. 20ig
139E i3 ry � �7"'
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rREV11L'WS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW I REVIEW
DATEII
COMPLETED
Rev. 8/2/17