HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (
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.Building Permit Applicatiorai.'.9�Sr eyNFD
Planning and Development3ervices �1,%�°,°d `UCj e
Building and Code Regulation Division - cO� ��erjE cou, R,��
2300 Virginia Avenue, Fort Pierce FL'34982 `Y
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum
Address: 7921 PLANTATION LAKES DR, PORT ST LUCIE, FL
Legal Description: RESERVE PLANTATION PHASE 1 LOT 60
Property Tax ID #: 3321=801-0060-000-2 Lot No. 60
Site Plan Name: Block No.
Project Name: PATRICK
Setbacks Front N A Back: Zo.5' Right Side: 42.6 r Left Side: TO
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j �iwna war e e orme. un er is perm -c ec a apply:
I JjHVAC E]GasTank E]GasPiping ❑Windows/Doors
_Shutters
11 Electric 0 Plumbing Sprinklers 11 Generator � Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$_ /Ui35S=�J Utiliities:-Usewer 0Septic Building Height:
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Name
Name:
Address: 7921 PLANTATION LAKES DR
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Company: (y.IDVC
PORT ST LU IE
City: State: FL
Address, S i
Zip Code: 986 Fax:
City: Uu ' P state:�C.
Phone No.
P. Fax:
Phone No. _ �3a— 12�Y0- Y393
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail: _ i U SCV /C IZZ S _ CGfVI
state or county License: Iy U b'91 qi
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SIJ P NI IVT 1 Cbf IS l 0 �I I iIFO(ijUl
DESIGNER/ NGINEER. _NotAp licable
Name: Gc
Address:
HfC3N US 0
MORTGAGE COMPANY. _✓Not Applicable
Name:
Address:
City: State:
Zip: e Wq-!5 hone:
City; State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: of Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
1 certify that no work or Installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy 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 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 ay result in your p g twice for
improvements to your property. A Notice of Commencement musXb carded and pod the jobsite
before the first inspection. If you intend to obtain financing consulender o an a or ey before
commencing work or recording our Notice of Commencement.
Sign t re of Owner/Lessee/Contractor as Agent for Owner Signature Contractor/ ice se Hol er
ST E OF FLORft 1 I '/11� STATE OF FLORID
COUNTY OF l COUNTY OF L. L-i'k c Q
The f ing in ftwaknwledged+efore me
this Mdayo�Kby
Type of
Commission
Revised 07/15/2014
The foroiitr tws acknowledgedbefore meng ins Wen
this �day ofbecm k y
person
(Signature4J NotaryPublic-
Personally Known `� C
Type of Identification Produt
Produced Identification
ANGELANMSA 00g500tate o INGHAM �^ a 3 /
No[I6,eel�liC -State o1 Florida Commission No. aoc �t'
Commission 9 GG 249625
My Comm. Expires Aug 16. 2022
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