HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL j IPPLICABq INF7 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat : /� Permit Number:
EIVE
Building Permit Application AUG 17 2018
Planll
ing and Development Services Permitting Departmen
Built(ng
230
and Code Regulation Division St, LUcie CountyFL
Virginia Avenue, Fort Pierce FL 34982
Pho
`g
I x V
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER
'I� IT APPLICATION FOR: Other
PRO,
OSED IMPROVEMENT LOCATION
Addr''I
s: 109 Ridge Circle Fort Pierce, FL 34982
B S Harris S/D BLK 2 from SW CORLOT 10 RUN S 26 DEG 05 MIN E ALGE RNV Ridge AV 200.76 FT for POB. TH CONT S 26
Legal i Description: s
DEG5 MIN E 115.93 FT. TH E 96.05 FT, TH N 26 DEG 05 MIN W 115.93 FT, TH W 96.05 FT to POB (OR 398-1632; 2539-1875;2553-2385)
Propel4y
Tax ID #: 3532-503-0027-000-2 Lot No. 10
Site P
Proje
�n Name: Block No. 2
III Name: Dubrin Decking
II ks Front Back: Right Side: Left Side:
Setb
DET
,AILED DESCRIPTION OF WORK:
repla ;ICI existing 2nd floor decking -�I b a. -; n� L Lv- ovc-ir �pl7'�,'n�( r'�rnbrt'aY1� ,
:,CONSTRUCTION
INFORMATION::
Additi3nal
work to e errormed under this permit —check
VAC Gas Tank ❑Gas Piping
an
apply:
Shutters
❑ W' dows/Doors
_
lectric 0 Plumbing
I
Sprinklers
ElGenerator
Roof Roof pitch
Total
I . Ft of Construction:
S Ft. of First Floor:
Cost o
Construction: $ 31,000.00
Utilities: Sewer I] Septic
Building Height:
dw
ER/LESSEE:
CONTRACTOR:
Name
Addre,
City:
Zip Cd'be:
Phone
E-Mal
„ arolyn S. Dubrin/Carolyn J Dubrin
Name: Curtis Tuchon
Company: CDR Builders Corp.
Address: 3231 SE Dominica Terrace
City: Stuart State: FL
Zip Code: 34997 Fax: 772-781-2506
Phone No. 772-781-2505
:109 Ridge Circle
slort Pierce State: F�
34982 Fax:
No. 518-728-6645
+
a simple Title Holder on next page ( if different
Fill in I
E-Mail: info@cdrbuilders.com
from t
Ile Owner listed above)
State or County License: CGC1509749
IT value JoT construction Is $iZWU or more, a RECORDED Notice of Commencement Is required.
SU,
E PLEMENTAL'CONSTRUCTION,,LIEN, LAW INFORMATION:
DE
Na
Ad
ON..
Zip
'IGNER/ENGINEER: Not Applicable
,; e: �� vU 1 �+1k Gi PGt a
MORTGAGE COMPANY: Not Applicable
Name:
Address:
, tress:2 plrct
State: I--_
Phone " 7-7Z L4fJ
City: State:
Zip: Phone:
FEE
Nardi
Address:
Cit
Zip
SIMPLE TITLEHOLDER: of Applicable
e:
BONDING COMPANY: Not Applicable
Name:
3231 SE DominicaTemace
,
Address:
City:
Phone:
Zip: Phone:
OW ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cert iy that 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
whichl!`s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structi re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cor Iideration of the granting of this requested per I do hereby agree that I will, in all respects, perform the work
in acc rdance 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,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR, ING 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
befor� the first inspection. If you intend to obtain financing, consult with lender or an attorney before
corTt , encing work or recording your Notice of Commencement.
Sign 'tire of O ner/ Lessee/Contractor as Rgent for ner Signature of Contractor/License Holder
��
STATE OF FLORIDAFLORIDA—,
STATE OF FLO.
COUNTY OF %C' �P; COUNTY OF '�1�
The orgo rig instru ent was acknowledged before me
this nay of I V6UA, 20 by
Nailfie of person making statement
Pers nally Known OR Produced Identification S
TyPE of Identification
Produced rl o ri a D L
Ila 1:W J, 2 aX2
(Sigaature o otary Public -State of Florida )
�ot►R; o MARY LEE wns
Commission No.NVc�l *MYC( ION#00MI I
'-OF FjOlg BOf W T1vu budge! Notary SW*n
The forgoing instr ent was cknowledgeflpefore me
this d Pay of 20 by
Name of perso making statement
Personally Known V OR Produced Identification
Type of Identification
Produced °
a
(Signature of Notary Publ" - ate of Florida )
Commission No. •,as:!;�•,�Seal) TINAPOGGIONE
rig
MY COMMISSION # FF 9
ExPIRES: Septembr 21,
F: R off •• Bonded Ttw NOW Pubk UP
RENEWS
FRONT
ZONING
SUPERVISOR
PLAN
VEGETATION
SEATURTLE
MANGROVE
;III
COUNTER
REVIEW
REVIEW
REVI
REVIEW
REVIEW
REVIEW
DATq
RECEIVED.
DATq
CO
PLETED
Q �Z
Rev. 8/2/17