HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONIRo
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DatelNA Permit Numbe
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Building Permit Application OCT 08 2018
PlonnI ing and Development Services LPermitting�;��r l�Fl$
Buildig and Code Regulation Division2300 Virginia Avenue, Fort Pierce FL 34982 t. LLICI COUilty, FL
Phole: (772) 462-1553 Fax: (772) 462-1578 Commercial Rrit-ral
PERT IT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT L®CATIO:N - =`
Address: 2007 NW Royal Fern Ct
Legal Description: Harbour Ridge -Plat 6- Royal Fernvillage Unit 15 11�
Property Tax ID #: 4425-605-0029-000-3 I \ rs� Lot No.
Site Plan Name: 1 Block No.
Project Name: --
Setbacks Front Back: Right Side: Left Side:
Install Majestic fireplace and run gas lines to range, fireplace, firepit, grill, pool heater, instahot,
generator Pco w, >�,�; g �-i n � Soo 3&tl orN LP i a" k
Haaltional work to lie nertormea under tnls p rmlt — check all apply:
11HVAC E Gas Tank MGas Piping _ Shutters F]Windows/Doors
Electric 0 Plumbing Sprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 11895.00 Utilities:0Sewer 0Septic Building Height:
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OWNER/LESSEE
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Nam el Jeffrey & Ruthie Steinberg
Addreiss:2007 NW Royal Fern Ct
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No.
E-Mall:
Name: Blake Cowdell
Company: Energized Gas
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
E-Mail: EnergizedGenerators@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: FL34747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: Jeffrey & Ruthie Steinberg
Name: Blake Cowdell
Address:2007 NW Royal Fern Ct
Address: 2007 NW Royal Fern Ct
City: Fort Pierce
State:
Clty:I Palm City State:
Zip: I Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
_
Name:
Address:4252 Bandy Blvd
Address:
City:
City:l
Zip: Phone:
Zip: Phone:
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 ins 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
commencing work or recording vour Notice of Commencement.
ntractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA I n i I STATE OF FLORID
COUNTY OF �� � COUNTY OF t X
The for oing instr me t was acknowledged before me
this day of 201Zby.
Name of pe s making statement
Personally Known OR Produced Identi cation
Typeof Ide ification /f
Prodded
Wda'furVof QDotary Public--State-of Florida )
Commis�Sio No. (Seal)
ing instrumentinstcument was acknowled ed before me
day of e r 20by , ,
If Name of a on making statement
Known OR Produced Identification
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8h/17