HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AF'rL?t.MDLC
INFO MUST BE COMPLETED FOR APPLICA710M TO BE ACCEPTED
Date:;
Permit Number: 10
I
UR
SCANNED E K k� & 17 `4 iz"' 'T L
BY Rn,
: r _� St Lucie County
Building Permit Application SEP I'QL018'
Plann'
Bu . .1
I
g and Development Services
11�
1�1 and Co Regulation Division Permitting Department
230000
Phonr,:
'Virginia Avenue, Fort Pierce FL 34982
'
Ir46qip County, FL
(772) 462-1553 Fax: (772) 462-1578 Commerc . ial
PERK iT APPLICATION FOR: --
I Feaw Af lQ0.)446 PLV, 8'e�
PROP,,
SEQ IMPROVEMENT LOCATION:
Address.
114 QUEEN CATHERINA CT
Legal Description:
QUEENS COVE -UNIT 2- BLK 22 LOT E(OR 3669-2438)
Proper�'
Tax ID #: 1414-702-0015-000-7 f Lot No. E
Site Plalni
Name: Block No. 22
Project
1
Name: PENNELL
Setbacks
Front = Back: Right Side: Left Side:
[DETA
'� ED DESCRIPTION OF WORK:
INSTA�
LING
(I
F4rJ1
I
L11
oe
CONSTRUCTION
INFORMATION:
Additic
nag work to be performed under this permit —check a! app y:
AC Gas Tank ®Gas Piping Shutters Windows/Doors
�ectric El Plumbing OSprinklers E]Generator Roof Roof pitch
Total ,
Cost of
Ft of Construction: SCI. Ft. of First Floor.
onstruction: $ 415o Utilities: 11 Sewer Septic Building Height:
CONTRACTOR:
N PENNELL Name:
OWNWLESSEE:
Name O
Addres�!:
114 QUEEN CATHEIRINA CT compoey:
City: F��
PIERCE State:FL Address: 4 0 US1
Zip Cod
I e, 772-567-9824 Fax: City: VERO BlExt-W, State: FL
Phone 1
0. Zip Code: 32967 Fax:
-
E-Maill
phone No. 772 -3067
Fill in fq:
1 simple Title Holder on next page (if different E-Mail: Jlr�! C 0)-Ry STALP SIRC.COIVI
from tt
e Owner listed above) State or "County License: CPC1 4571
If value
1,f construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
SU,P,PLEMENTAL CONSTRUCTION LIEN. LAW INFORMATION:
DESIG
Na I:
Ad:
d''essCity1
Zip. P
NER/ENGINEER: _ Not Applicable
e
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
State:
II Phone
FEE I
NarT1e:
Address:
City1J
Zip:
I
IMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
I Phone:
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi I'� that no work or installation has commenced prior to the issuance of a permit.
St. Lugp Counmakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which 1s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In con Ideration 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 fol. owing. building.permit applications are exempt from undergoing,a full concurrency review: room additions,
accessoIry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Recorda Notice ,of Commencement may result in your paying twice for
improvements to your property. A Notice of ement must be recorded and posted on the jobsite
before the first inspection. If you intend too taiN fi sing, consult with lender or an -attorney before
comm,'encing wark oy recording your Notice M ncement.
Signature
of O ner/ essee/Contractor as Agent fo g
Signature of Contractor/License Holder
STATE
OF FLORID - �W
STATE OF FLORIDA
COUNTY
OF
COUNTY OF
The for
oing.instru ent wa acknowledge before. " ;
= o
The forgoing instrument was acknowledged before me
this day of 20_ by
this
day of 2014� by
.
j Name of person making statement /
Name of person making statement
Pers"
ally Known OR Produced Identificationy
Personally Known OR Produced Identification
Type)f
I - tion
Type of Identification
Produced
L ('
I
Produced
II
(Sign"'ture
of Not Public- State orFlorida V
(Signature of Notary Public- State of Florida )
j
Commission
No. (Seal)
Commission No. (Seal)
FRONT ZONINGANGRO
COUNTER I REVIEW I S REVIEWUPERVISOR I REVIEW I PLANSVE VIEW EGETATION I S REVIEW LE I MREV EWVE
DA
e
�I Rev.8/2/17
III