HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f j
Date: /O ' cjJ Permit Numb �/ �� v
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Building Permit Applicatio OCT 05 2018
Planning and Development Services
Building and Code Regulation Division Pam'. m Itti li Department
2300 Virginia Avenue, Fort Pierce FL 34982 �,
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial esfd6njit lc�e County, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Aaaress: VaiGQll a_aaaaw viwc am�
Legal Description: Lot 4 Avalon Beach PUD Block 2 Plat Book 55 page 19 @k Lucie c®89rn1(fia
Property Tax Ill 1403-500-0020-000/1
Site Plan Name: Avalon Lot 4
Project Name: Ocean Estate Drive, Lot 4
Setbacks Front Back:
Right Side: Left Side:
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Lot No. 4
Block No. 2
aaitionai worK to De
11HVAC
errormea
_ Gas Tank
unaer finis permit — cnecK an
Gas Piping
rn
appl
Shutters
Q Windows/Doors
11 Electric
0 Plumbing
Sprinklers
El
Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ t22
S Ft. of First Floor: _
Utilities: I I Sewer Septic
Name Ocean Estate Drive LLC
Address: 9508 Windy Ridge Road
City: Windermere State: FL
Zip Code: 34786 Fax:
Phone No. 407-489-2736
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name: Alan Tarpell
Company: Phoenix Realty Homes
Address: 1760 N Jog Road Suite 120
Citv: West Palm beach
Zip Code: 33411 Fax:
Phone No. 561-799-5900 Ext 105
E-Mail:
State or County License: CGC-058625
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
DESIGNER/ENGINEER: _ Not Applicable
Name: stow
Address: Swinton Road
City: Delray Beach State:
Zip: Phone:
FEE SIMPLE TITLE HOLD R: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPAN _ Not Applicable
Name:
Address: ivlr
City: State:
Zip: Phone:
BONDING CO NY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 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 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
commencine work or recordine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORID�&Jmz�
COUNTY OF
The for ping instr t ras cknowledged before me
this day of 20`_by
(NapAe of -person acknowledging)
C'�(z/
(Signature of Notary\ P1 lic- &6te of Florida )
Personally Known v OR Produced Ide ti i o
Type of Identification
Pc% Notary Yuulw .••••_ _. -
Commission No. ' My Co �rn GG 092440
G
Etpires 0712712021 _ y eu
Revised 07/15/2014
s
Signature of Contractor/License Holder
STATE OF FLORIDA "- �&6 COUNTY OF
The forg i g instrumogwas_.acknowledged before me
this li . of 20 /Z— by
(Name of person acknowledging)
(Signature of Nota Public- Stat of FI da )
Personally Known OR Produced Identification
Type of Identification Produced_
Commission OaojQar P4A4 Notary Public State oFrticonz
f(Mv
—My Coemi.i.na IIII
My Commission GG 092440
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