HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAr, A 'IL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
ei SCANNED
ED
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Building Permit Application RECEIVED
Panning and Development Services SEP 0`5 201y
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting 01*& &
one: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential s' "O"666IRV
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Ire..l'., 1 V
a escri ion:
perty Tax I D #:
Plan Name:
ject Name:
:backs Front 7 0 Back:
New, Residential Construction
Lot No.,-,
Block No.
Showen Residence
)� Right Side: � Q____ Left Side:
� 8
ec�i V' 0 D K-,,,
Additional work to be nertormeCi unaer tnis permit— cnecK aii apply:
F-71 In Z
pLJHVAC Gas Tank E]Gas Piping _ Shutters Windows/Doors
Electric WIPlumbing O$prinklers L__I Generator Roof Vi;l"Roof
pitch
To l Sq. Ft of Construction: 2,592 �� S . Ft. of First Floor:
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Cot of Construction: $ z958-8A 3�2 f l� Utilities: 0Sewer W1 Septic Building Height:
C7WNt/LSE
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���MCONTRAC"OR
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Nalrpe
Kari Showen
Name: Mike Miranda
Adldress: 742 NW Viscaya
Company: Group One Construction And Development, Inc.
Address: 10993 US1
`� Port St. Lucie State: FL
City:
Zip III Code: 34983 Fax:
Phl ne No.
City; Port St. Lucie State: FL
Zip Code: 34952 Fax: 772-742-2901
Phone No. 772-742-2900
E-jVlail:
KShow175@yahoo.com
Fill
frolln
�In fee simple Title Holder on next page (if different
the Owner listed above)
E-Mail: MikeMiranda3074@aol.com
State or County License: FL
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ENGINEER: _ Not Applicable
ame: _
Jdress:
ty: State:
p: Phone
E SIMPLE TITLE BOLDER: _ Not Applicable
me:_
dress:
p: Phone:
•
MORTGAGE COMPANY: _ Not Applicable
Name: Seacoast
Address: 1790 SW Gatlin Blvd. Suite 202
City: Port St. Lucie State: FL
Zip: 34953 P h o n e: 772-485-7479
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
O!h/NER/ CONTRACTOR AFFI®VIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I c Iertify 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
wl �ch is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
str cture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In onsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in ccordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Th following building permit applications are exempt from undergoing a full concurrency review: room additions,
ac1'lessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
W FINING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying t e for
irr�rovements to your property. A Notice of ommencement must be recorded and posted o e jobsite
before the first inspection. If you intend t . obtain financing, consult with lender oran atto before
cdinmencine work orerecori:16 flour N ice of Commencement. I
S
n ture of Owner Lesse 6ntractor s Agent for Owner
a g
Si nature of Con ractor Licen Holder
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ATE OF FL TIA j
STATE OF FL A
COUNTY OFF I�uLJ Q.J
1111
OUNTY OF, l��
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I I a for ing inst ent was acknowledged before me
i day 20 by
Th grgoing ins e t was acknowled before me
thi� day of 20� by
t
of _
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Name of erso}� making statement
p
Name of person aking statement
Personally Known �nOR Produced Identification
rsonally Known ✓ OR Produced Identification
11pe
of Identification
Type of Identification
Piroduced
Produced
"'N0Ckk
ignature of Notary Pi i0c'-,� to I
Y Lo� Sri SSION # GG066605
(Signature of Notary Public- S1 at ' fidCRYSTAL DAWN MO
=
Commission
%;:
No. '€;' �' SXWIlflanuery 26, 2021
;' •ii MY COMMISSION # GGC
Commission No. = (-L*IRES January 26,
EVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
PATE
RECEIVED
_
ATE
COMPLETED
8/2/17