HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED D FOR APPLICATION TO BE ACCEPTED -
Data- 11 1 j� Permit Number:
• RECEIVE®
Building Permit Application NOV ® � 2o1s
Planning and Development Services
Building and Code Regulation Division ST. 1_146i® C�HntY� P rfT7I5gIflq
2300 Virginia Avenue, Fort Pierce FL 34982 -- -- -
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ' 1
PROPOSEp"IMPROVEMENT LOCATION:
Address:I&Y rn
Legal Description: MARSH LANDING @ THE RESERVE -PHASE II- LOT 61 St L
Property Tax ID #: 3321-805-0026-000-4 Lot No. 61
Site Plan Name: Block No.
Project Name: MARSH LANDING @ THE RESERVE
Setbacks Front Back: Right Side: Left Side:
DETAILED.�DESCRIPTION OF WORK:,
elr� j , �- (cam P a,-P-r 60ce I Peet '5crc,-)
4 J �Orc: -en
CONSTRUCTION INFORMATION.
Additional work to be e orme under tispermit-checka apply:
gHVAC 0 Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator Roof 5 Roof pitch
Total Sq. Ft of Construction: Woo J S . Ft. of First Floor: L1 I90, 7
Cost of Construction: $ 1000 Utilities:Sewer ElSeptic Building Height:
OWNER/LESSEE .., -:'
CONTRACTOR:,
Name W\%LhA+_L (2_r4rro ZLcIIa
Name: 5k�
FYz)n, _
Address: V�l I MA9414 _Re4l,
Company: 3+ev4_
F;0r-rAL x--`Aoe nc, ,T-A)
City: Poa e4•"..- State:F�••
Address: N. 64Qlelc
I
Zip Code: 34986 Fax:
City: Pon+ ��•
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State:
Phone No.7?2-466-2710
Zip Code: 3\4q rf Fax:
I U-.336 -M)
E-Mail:JCARRO@YAHOO.COM
Phone No. 11.2- 334,
-,394D
Fill in fee simple Title Holder on next page ( if different
E-Mail: S4-p�,
PDA444Z- 12
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from the Owner listed above)
State or County License: Cec
l 3aipg2D
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
I
•'SIJOOLEMENTAL CONSTRUCTION LIEN LAW INFORMATION`.
DESIGNER%ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address: I
Address:
City: State:
City: State:
Zip: Phone
i
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: I
Name:
Address:
Address:
City:
City:
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 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 strictures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING T NER: Your failure to Record a Notice of Commencement may result in your paying twice for
improve is to your y. A No is Commencemen rded and posted on the jobsite
before a firs ction. you inten ' Inancing, co suit with I rney before
com encin or or rec d otce o Commencement.
I
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Signature o Lessee/Contractor as Agent for Owner
Signature of Contractor/License Ho er
STATE OF1 FLORIDA
COUNTY OF m
STATE OF FLORIDA
COUNTY OF YnA e44 rN
The forgoing instr ment was acknowledged before me
this �L day of t (� bt jf 20 18 by
The for oing instrument was acknowledged before me
this o2� day of Qtt %6 . , 201 g by
STEVE FRONTERA
STEVE FRONTERA
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sig ature of Notary Public- State of
re of Notary Public- State of Florida )
rrC� a o�LYO�e Notary Public State oion
Commission No. rr �� �✓ ? Carmela Frantant
y 9 My Commission FF 9
ati Expires 05/29/2020
JFJpr1da.
No. W 9i-' % K3
ry Put�lic State o
Fj< Ncta
Cannela FrantantiN` My Commission FF 9
For
5
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xPires 05/29/2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TUR L
A
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
I
COMPLETED
l 5
Rev. 8/2/17
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