HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONF . "-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED A)
Date: _l_ Permit Number:
Date:
ANSCNi=b
BY
. St. Lucie County
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential 1�
,
PERMIT APPLICATION FOR: Building
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Address: a7 Villas r+P IFI• lVieCCQ.. FL 3gk4!51
Legal Description: Tangible Property- State code: 814190 - Mobile Home
Property TaxlD#: 1301-111-0001-000/5 Lot No.
Site Plan Name: Spanish Lakes CC 7005 Block No.
Project Name: Wayne Jankura
Setbacks Front Back: Right Side: Left Side:
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Adcutional work to a er orme under tis permit —c ecw a app y:
ZHVAC 11 Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator g Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
800.00
Cost of Construction: $ Utilities:11Sewer Septic Building Height:
Name e. J&n Ur0L_
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Name: ve ✓ nI
Address: 2i` 1 Vl1 0.5 net Ore—
Company: ARS
City: ��. Pi-eYc..� State:F�
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Address: aM0 US 4LIU
City:_V<2CO 'e)P1�C t State:FL
Zip Code: 34951 Fax:
Phone No.�_);-o a \�JmS
Zip Code: 32960 Fax:
E-Mail:
Phone No. 772-794-720'j
Fill in fee simple Title Holder on next page (if different
E-Mail: KArndt@ars.com (✓Su\\�U(�� Q{S•�11
State or County License: CMC1249753
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: JZ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
State:
Zip: Phone
Zip:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
of Applicable
N a m e • Spanish Lakes/John Coleman
Name:
Ad d ress:27 Nllas Del Norte
Address:
City: Fort Pierce
City:
Zip:34951 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 with lender or an attorney before
commencing work or recordini=_ vour Notice of Commencement.
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Si ature of Ow see/Con ractor as Agent for Owner
Sig Cure of Con rise Hol
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S�,
COUNTY OF 5+_ LLJCI2
The for oing instrument was acknowledged before me
The forgoing instrument was acknowledge efore me
this_ day of JJ��I 20Aby
W, day of \"Jltl 20 by
`this
Name of person making statement
Name of person making statement
Personally Known,X OR Produced Identification
Personally Known _,A, OR Produced Identification
Type of Identification
Type of Identification
Pro ced A A
Prod ed
IS' nature of Pub' - State of Florida)
S' na ure of Not ic- a of Florida )
Commission No.C-,L� 5 (Seal)
Commission NoL^�535 (Seal)
,��N'i,; COLEEN SULLIVAN
p�" COLEEN SULLIVAN
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.'OraPIRE
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REVIEWS
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MANGROVE
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REV
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17