HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL AP . -
PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date18 Permit Number:
SCANNED
•!6' rzRECEIVED
Building Permit Application
Plbnn ng and Development Services EsT
F 0 b 2018euildi grand Code Regulation Divisione County, p�tnylt�ing
2300 Phony irginia,Avenue, Fort Pierce FL; 34982 -
.: Commerc'ial
i� (772) 462-1553 Fax:, (772) 462-1578 .Residential xxx
PERMIT APPLICATION FOR:.:To Select from dropbox, click arrow'at the end of line
-,PROPIIOSED�
IMPROVEMENT LOCATION
Address:
403.N 40th
Legal D'lescrip#ion:
CLYDESDALE HEIGHTS BLK 2 LOTS15AND 18 (0.34 AC) (OR 435-332: 1652-1947)
Properly
Site Pl
Project
Setbacks
Tax ID #: 2408-602-0027-000-1 Lot No.
Name: /i�� le o2rl:5" Block No.
'Narne:dxx,lh�cl-7C:
. Front Back: Right Side: Left Side:
it
DETAf
LED klklP.TION.Of WJORK ,
Remote flat roof covings. Install .Tribuilt-.SBS-SA Base Sheet. FL 16027:
Tribuilt SBS-SA CAP Sheet FL 16027.
Install tapered ISO -board for positive drain flow. 6 F . y
CONS�TRUCTION INFORMATION: _ __._ -
itional work to be erformed under this -permit — check all t= apply:
.El
Total
Cost o
✓AC LJ Gas Tank:
FIGas Piping
_ Shutters
Windows/Doors
ectric
0
Plumbing
OSprihklers
El
Generator
R!Roof
1/12
Roof pitch
Ft of Construction: 2200
Dnstruction: $ 8000.
Sq. Ft. of First Floor:
Utilities: L _I Sewer F-1 Septic
Building Height:
01JUf�R/LESSEE:
CONTRACTOR:',
Name r
Iadys D. Foxx
Name: Ray Villanova
Add res
City: Ft:,
'Company: Villanova Construction Inc.
Address: 2908 Oleander BLvd.
4.03 N. 40th St
Pierce State: FL
Zip Code:
34947 Fax:
Ft. Pierce,
City:. State: FL
Phone
E-Mail'1
�'1
34982
Zip Code: Fax:
Phone No. 772-940-6654
�o.
Fill in fee
simple Title Holder on next page (if different
E-Mail: rayvillan@aol.com
from the
Owner listed - above)
III
State or County License: CCC 1327240
If value f construction is $2500 or more, a RECORDED Notice of Commencement is required. I i
f
�1
SU
PLE11Jl'ENTAL CJdli
RUCTION LIEN LAIN<1MF,ORMATION
DESI
'Nan'
NER/ENGINEER: _ Not Applicable
^.. :.
MORTGAGE:COMPANY: Not Applicable::
Narne:
,...,. ,. ..
ess.
Add'
Address:�t
'
City:,
City:. State:
{ State:
Zip: l
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Phone
Zip: Phone:
FEE .I
IMPLE TITLE HOLDER: _ Not Applicable • �
BONDING COMPANY: _Not Applicable
Na
; Name:
ss
Add'
:.City
Address:
City: -
..
Phone:
Zip: Phone:
Zip:
,I
OWN' R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and. installation as indicated.
ceiti that no:work or installation has'commenced .p'rior to the issuance of a permit:
St: Luc! 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 andcovenantsthat may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
:'In.consderation of the' granting of this requested permit,:) do hereby _agree that:l .will, in all respects, perform the work
in acco dance with the approved plans, the, Florida.Building Codes and St. Lucie County Amendments.
The fol wing building permit applications are exempt, from undergoing a full concurrency review:, room additions,
access' I'ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR F ING TO OWNER: Your failure to Record a Notice of. Commencement•may result in your �payin twice for
g
impro emerits to :your' property. A Notice of Commencement must be recorded and: posted on:the jobsite
beforethe first inspection. If you intendao obtain:financing- consult'with lender or on attorney before .
com ncine work or recordine vour. Notice of..Cam mencement...:.
III;
..... ..... .....
.....
Signatur of Contractor/License. Holder.
Signa'u
of Owner/ Lessee/Contractor as Agent .for,Owner•.:.
STA
CIE OF FLORIDA.
St. b'
STATE OF FLORIDA . S.
"COUNTY'OF.. �-ot
COI!
TY OF .
:The f�l
rgoing' instrument was acknowledged before me- :
The forgoing instrumentwas acknowledged before me
this:
day of ..:Se,o e rn�re , :20� by :...
this S day of: �(ir�ti/�1r , 20/ by
I O ame of persop' making statement
✓
ame of perso aking statement
.Persl
ally Known OR Produced Identification
Personally Known OR Produced Identification
T. el
f Ident'f'
ced
Type of Identificatiot)�
Produced
ro
II
( gni
ure of Not f Pu lic- tate of Florida
...
(Signature of Notary �u lic- State of Florida )
Comm
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```'pVpV�I� KARENrnIIEL'SEN
ission No. t a. to of Flo i a. otar Public
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```11YP,','...
Commission No. ..� I E L
4,, ��@��N S. N SE
ar c,:St t_ Florida -Notary
=* p 'Commission # GG 207484 .
, My Commission Expires.:
.. Pu
*= Commission # GG 2074
;�,fF�,P�; My,Commission Expire
I-SEATURTLE
gim
REV
EWS
FRONT:...
:SUPERVISOR
PLANS
VEGETATION
MANG
ZONING
COUNTER..
REVIEW
" ' REVIEW
REVIEW
REVIEW .REVIEW.
REVIEW
DAT
RECE.I
ED
DAT
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Rev. 8/I /17
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