HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi, w
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II ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Num
•'LS.i 41NIM �° c
Building Permit Application
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Planning and Development Services c e c,
Building and Code Regulation Division 1 g
2300 Virginia Avenue, Fort Pierce FL 34982 F
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x,& SI
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line St
Address: 7227 MARSH TERR. PORT ST. LUCIE, FL. 34986
Legal Description: MARSH LANDING @ THE RESERVE -PHASE TWO -LOT 69
Property Tax ID #: 3321-805-0034-000-3
Site Plan Name:
Project Name: MARSH LANDING @ THE RESERVE
Setbacks Front Back: Right Side: Left Side:
Lot No. 69
Block No.
DETAILED DESCRIPTION OF WORKIN� u �O,nrDJzz� a.0 Oip'21 .w 1
Remo-F' % I Le 70 TILL ever ae roc\ PcmL c 'i ic.k, F Y5_1 :AQW—(tl O—'
En4cyc 12"F A& FI '"JgaH —IZIO. 71,30 8cr. s Per '1ti — YMe3>I
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CONSTRUCTION INFORMATION:
itlona wor to e e orme under t—checkispermit a apply:
�HVAC ElGasTank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 11 Plumbing Sprinklers Generator g Roof SII Roof itch
Total Sq. Ft of Construction: 3 ?� 0 5 Ft.of First Floor: LI
Cost of Construction: d $ 7, coo. o o Utilities: 0Sewer 0 Septic Building Height: ) 1
OWNER/LESSEE:
CONTRACTOR:
Name DENNIS FORD
Name: STEVE FRONTERA
Address:5365 FALL CREEK RD.
Company: STEVE FRONTERA ROOFING, INC.
City: INDIANAPOLIS State:IN
Zip Code: 46220 Fax:
Phone No.317-201-7256
Address: P.O. BOX 9661
City: PORT ST. LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 317-201-7256
E-Mail:DMFPRSS@SBCGLOBAL.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: DMFPRSS@SBCGLOBAL.NET
State or County License: CCC 1326920
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
-
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: _Not Applicable
Name:
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 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 *th lender or an attorney before
commenciri*wosk or eGo"ling vour Notice of Commencement) )
Signature ner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF FI,102t1)A
COUNTY OF (YMA"r)
The forggoing instrument was acknowledged efore me
The forgoing instrument was acknowledge before me
�4cmbcr/
this �X dayof be_ce_ l�t�- .20�by
thisday of 201 by
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Name of perso Waking statement
Name of perso making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
ax'irii,L
Produced
(Si ature of Notary Pu tc- a e@,o o i a
lic State Florida
(Sig ture of Notary Public- I
lup Notary Public State of Florida
odrroosy^ Notary P. of
Commission No. a CaraI1ry�I�'F'��ffantanlonl
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C@ppfn�elaa Frantantonl
Commission No. 4
,Q My Cb551on FF 975783
11,01
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w°� Expires 05/2912020
OF F' Expires 05/2912020
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17