HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. I Permit 61-00r)�
11-5118
I I
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (77112) 462-1553 Fax: (772) 462-1578
Commercial Residential
RECEIVED
NOV 0 6 2018
PW9nftkG Department
St UO.- County,
X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
V 11-OCATION. R
Address: 842 Pirate Cove Lane Q%otil'411YIzu
i Y
Legal Description. Unit #305 Ocean Resorts
St 11 tale
SEE ATTACK MENT Getinty
Property Tax ID #: k 4 -')m ow I Lot No.
Site Plan NaTe: Block No.
Project Namie:
Setbacks Front Back: Right Side: Left Side:
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RK b 'ILED-'�'bE,SC,klP-T�lO�-OF�'WO'
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1. 1 - '. I - , N" ., -
Replace windows, and repair siding
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;q'STRO'CTION, NTT. ION
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Adclitional work to be performed Under this permit —check aapply:
HVAC Gas Tank RGas Piping L1 Shutters Windows/Doors
Electri 0Plumbing F]Sprinklers OGenerator Roof 2 Roof pitch
Total Sq. Ft of Construction: 635 Sq. Ft. of First Floor: 635
Cost of Construction: $ $2300.00 Utilities: Z Sewer 0 Septic Building Height: 11'6
1
OWNER' 1ES'S"EL""',
'iCQNTRACT9,R-,
Name
Name: Keith Paulsen
Address:
Company: Paulsen and Sons Contracting Inc.
City: State:
Address: 499 SW Dairy Rd
Zip Code: Fax:
City: Port St Lucie State: Fla.
Phone No.
Zip Code: 34953 Fax:
E-Mail:
Phone No. 772 679 2027
Fill in fee simple Title Holder on next page ( if different
E-Mail: Keithmpaulsen@gmaii.com
I
from the Owner listed above)
State or County License: CBC1259460
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
S a.
`5UPPLEM`E'NTAL'CONSTRUCTION LIEN LAW INFORMATION
5
DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: I
Name:
Address: !
Address:
City: ! State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: Not Applicable
Name: I
Name:
Ad d ress: 409 SW D.hy Rd
Address:
City: i
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 cohnfflict 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 1 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 strii ctures, 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 insp ction, If you intend to obtain financing, consult withJ�nder or an attorney before
commencine work&r ceco�dine vour Notice of Commencement. / �1
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Fo
Sig ature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
S
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this ddy of 20_ by
this,_ day of 20_ by
Name of person making statement
Name of person making statement
Personally Known OR Produced Identifications
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev.8/2/17 ,