HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4 � '
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November 2018 Permit Number: U� ` • ��� `
i
� �ECEIVEp
SCANNED
Building Permit Application BY NOV 16 2018
Planning and Development Services st Lu de Coun tfng Department
permit
Building and Code Regulation. Division St.
t LuC1e County
2306 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED_IMPROVEMENT LOCATION:
Address: 1201 Driftwood Lane
Legal Description: DRIFTWOOD MANOR -SECTION THREE- LOT 13 (0.50 AC) (OR 1442-1685)
Property Tax ID #: 3404-808-0013-000-3
1
Site Plan Name:
Project Name:
Setbacks Front Back:
OETAILED`.DESCR°I,PTI.ON`OF W*ORK:
Right Side: Left Side:
Remove shingles replace with metal 5 V FL 27150 Integrity Metal
Underlayment Tribuilt Materials FL 16048
Lot No.
Block No.
:�CO.4STRUCTIO,N INFORMATION.,',.-
Add-
itiona I work to (ever orme under this permit —check a apply:
0HVAC L_J Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
❑ Electric 0 Plumbing Sprinklers ElGenerator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 3000 S Ft. of First Floor:
Cost of Construction: $ 13000 Utilities:�Sewer 0Septic Building Height:
,OWNER/LESSEE: :.
CONTRACTOR:
Name Deborah Cone
Name: Ray Villanova
Address: 1201 Driftwood Lane
Company: Villanova Construction Inc.
City: F't. Pierce State: FL
Zip Code: 34982 Fax:
Phone No.
Address: 2908 Oleander BLvd.
City: Ft. Pierce, State. FL
Zip Code: 34982 Fax:
Phone No. 772-940-6654
E-Ma'il:
Fill inifee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: rayvillan@aol.com
State or County License: CCC 1327240
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTA.L'CONSTRUCTI'ON<LIEN-LAW,INFORMATION
DESIGNER/ENGINEER: _ N'ot Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:.
Name: a
AddIress:
Address
City! State:
City: F=. Pierce, State:
Zip:1 Phone
Zip: Phone:
FEE!SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City;
City:
Zip: 1 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. Luc ie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which lis 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
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Sign re of Owner/ Lessee/Contractor as Agent for Owner
Signa a of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF 1�7;z:
The t ! orgpoiag, instr m a_ s agknowledged efore me
this day of U�(/ 20 by
The for oing inst)-uxn�nt wad acknowledgedj3�fore me
this % day of d o - by
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ame of person ing statement
a e of person aking statement
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na� y Known I' OR Produced Identification
Personal) nown OR Produced Identification
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of Identification
Type of Identification
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Produced
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ture of Notary Publi tate of Florida)
(Signature of Notary Pu li - State of Florida)
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fission No. �! / (Seal)
Commission No.� C�U i�s�� (Seal)
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IEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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