HomeMy WebLinkAboutBUILDING PERMIT APPLICATION� L
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PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
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Building Permit Application St Lucie County RECEIVED
g and Development Services - SEP 1. 12010
a and Code Regulation Division
rginia Avenue, Fort Pierce FL 34982 Permitting Department
: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XSt. Lucie County
PER °i IT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
P OR POSED IMP,ROVEMENT'LOCATION
kddrJs: 1104 FLEETWOOD LANE FT. PIERCE, FLORIDA 34982
.11
Legal Description: DRIFTWOOD MANOR SECTION ONE LOT 6 (0.50AC)
Propehy Tax ID #: 3404-806-0006-000-5
Site PI n Name:
Projec Name: DRIFTWOOD MANOR
Setba ks Front Back:
Right Side: Left Side:
Lot No. 6
Block No.
DETI' j ED DESCRIPTION OF WORK: i
l3VF- `7xR ' rf//' 1i pox)
F5 )e7 f" bek 11 ot C'15r' ff'!5:a )�
.CONSTRUCTION INFORMATION:
Additi wor to je erformed under this permit — check a app y:
❑ II VAC L_J Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑ lectric 0 Plumbing ❑Sprinklers ❑Generator ®"Roof �'� Roof pitch
Total Sq. Ft of Construction: / / a S r, S . Ft. of First Floor:
Cost b Construction: $ c OD- 00 _ Utilities:. Sewer ❑ Septic Building Height:
I'I
OW .,ER/LESSEE.
.. , , ,. ; :: ,
CONTRACTOR:
Name
Addre
City:
Zip Cc'
Phone
E-Mai
Fill in
from t
3EORGE KALIDONIS
Name: STEVE FRONTERA
Company: STEVE FRONTERA ROOFING, INC.
Address: P.O. BOX 9661
City: PORT ST. LUCIE State: FL.
Zip Code: 34985 Fax: 772-336-8556
Phone No. 772-336-3880
is:1104 FLEETWOOD LN.
T. PIERCE State:FL.
e: 34982 Fax:
o.772-708-4679
1, GREEK@GATE.NET
a simple Title Holder on next page ( if different
a Owner listed above)
E-Mail: STEVE.FRONTERA@ATT.NET
State or County License: CCC1326920
If value°'of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP
' E >�N Al. CQN� �! tCiN E�N tl11N !' FIRMA .t0
DESIGNER/ENGINEER:
Nam
Addr
City:
Zip:
_ Not Applicable
11 :
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:, State:
Zip: Phone:
ss:
State:
II Phone
FEE
Nam
Addr�ss:
City:
Zip:
WPLE TITLE HOLDER: _ Not Applicable
11 :
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Phone:
it
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certif�II 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 isin conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structui Lration
Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consi of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acco dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foil wing building permit applications are exempt from undergoing a full concurrency review: room additions,
accesso!I rily structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR NG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improements to r property. A Notice of Commencement mustip*5�
ed on the jobsite
beforE the f' inspe d to obtain financing, consuln attorn y�before
comm�enci g or recording your tice of Commencement. \
er/
as Agent for Owner I Sigriflure oMntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ha A E k rn COUNTY OF M
The f ftoing instrument was acknowledged Pefore me
this 41 1 -
day of 20_L& by
(Namei of person acknowledging)
(Sign ° ure of Notary P7_011
State of Florida )
I Perso'ally Known Produced Identification
Type of Identification
Produced c�mPpq. Notary Public
Cartnela Fri
Com ission No. F q S1183 ( My Ccmnussi
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�J reIt" F,� Expires 05/2,
FRONT I ZONING
COUNTER REVIEW
DATE
RECE„ ED
DATE
COM ATED
The forgoing instrument was acknowledged Pefore me
this JL day of20by
(Name of person acknowledging)
(SignatuAe of Notary Pub c-State of Florida )
Personally Known OR Produced Identification
TxaeafAJePAficatlon Akft
F PNotary Public State of F
CFmmission FF975Carmela Fti
rwr'9%on o.?��� F"OCes05/29/2020
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