HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Datel eo Permit Number:
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RECEIVED
0
Building Permit Application SEP 0 6 H18
Plan I ing and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
23001 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Addition
PROPOSED IMPROVEMENT LQCATI'ON
Address: 13208 Okeechobee Rd Ft Pierce, FL 34945
�4dud(: Loounty
Legal Description:
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Property Tax ID #: 2332-210-0003-000-2
Lot No.
Site Plan Name: 13208 Okeechobee Rd
Block No.
Proiect Name: Ortolani Coverered Porch
SetbIIacks Front Back: Right Side: Left Side: /D O
DETA,ILCD
DESCRIPTION ;OF V1%ORK:
Addition of a 350 SF Covered Porch onto an existing residence 0
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CONSTRUCTION fNFOR(VIATI;ON
itiona I work to be
nertormed under this permit— check all apply:
E1HVAC L_I Gas Tank []Gas Piping ff)_ Shutters Windows/Doors
Electric ❑_ Plumbing Sprinklers ElGenerator Roof 3�12 Roof pitch
Total I Sq. Ft of Construction: 350 S . Ft. of First Floor: 350
Cosh of Construction: $ 10,000 Utilities. Sewer Septic Building Height: 12'
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tiOWNE'R/LESSEE
CONTRACTOR
NameMark Ortolan! Sr
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Name: Jared Modine
Address: 13208 Okeechobee Rd
Company: Cole Construction Services, LLC
City: Ft Pierce State: FL
Zip Code: 34945 Fax:
Phone No.
Address: 497 S Brocksmith Rd
City: Ft Pierce State: FL
Zip Code: 34945 Fax:
Phone No. 772-519-0558
'E-Mail: coleconstruction@hotmail.com
E-Mail:
Fill in fee simple Title Holder on next page (if different
fro lm the Owner listed above)
State or County License: cgc1520537
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ' Not Applicable
MORTGAGE COMPANY: _ of Applicable
Name
Name:
Address:
Address:
City: State:
City: State:
Zip: I Phone
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Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name! (
Add re' s:
BONDING COMPANY: _ of Applicable
Name:
Address:
City: r
City:
Zip: Phone:
Zip: Phone:
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify 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
which is iin 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 consideration 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 following 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
WARNING 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
before! the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
re of
r as Agent for Owner I Signature of contractor/License Holder
STATE OF FLORIDA STAT OF LORIDA
COUNTY OF S#—. LGCC l,-� COUN F 5-h .
The forgoing instrument was acknowledged before me
this day of W12 by
Name of person making statement
Ily Known OR Produced Identification
Identification
F Notary Pubtit--State of Florid
+) Note State of Florida
No. `" ,+u*"� Nikki t�(j✓yr
My Commission GG 189140
+7o`�oai° Expires 02122/2022
.. � sa,r►.soA4J�
The forgoing instrument was acknowledged before me
this day of rJ-CPAetA P!', 20_ by
PIP/�Od/'c'l,-Q
Name of persoy�aking statement
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
of Notary Pu
(`! c P" NotaryyPl�u`b�lic State of Florida
Commission No. lb MyhrtttiAsion GG 189140
�0 i�o� Expires 02/22/2022
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Rev. 8/2/17