HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number. _ ,
RECEIVED
FEB ni; ?nq
Building Permit Application PermittingDepaamen,
Planning and Development Services St dude County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSECOMPROVEMENT LOCATION:' `
Address: 124 S Naranja Ave, Port 51.
Legal Description: RIVER PARK -UNIT 5 BLK 48 LOT 12
Property Tax ID fl: 3419-540-0185-000-4
Site Plan Name:
Project Name: Rolando Matos Duran
Setbacks Front Back:
Right Side: Left Side:
Lot No.12
Block No. 48
,DETAILED DESCRIPTION OF.WORK . �3¢ • '^ � �"°�°`$ `� `°' ``
Roof top solar
LJHVAC Gas Tank LfGas
11 Electric 0 Plumbing 05pr
Total Sq. Ft of Construction:
Cost of Construction: $ 14422;'>
uu.— dpPly.
Piping _Shutters
ars L__J Generator
5 Ft. of First Floor: _
Utilities:0Sewer Septic
❑ Windows/Doors
ORoof = Roof pitch
Building Height:
QWNER/LESSEE;`d,
CONTRACTOR
Name
Name:.Ken Williams
Address: rznr S. nei cu,tc. ;)VrL
Company: Titan Solar Power FL
City: Poo} SF. L x e State: FL_
Zip Code:-6"c!,3 Fax:
Phone No.
Address: 210 N. Sunway Drive
City: Gilbert Stater
Zip Code: 85233 Fax:
Phone No. 6027502-2865
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: c to �c,e (� Li;�vnsobtootier.�wn
State or County License: EC13008093
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,i+.
SUPPLEMENTAL CONST;UCT1ON, LIENIAVJ INFORM
TIOIV r£ z � F £y t =,
DESIGNER/ENGINEER:
Name:_ Ene.;oc rkrter5
_ Not Applicable
MORTGAGE COMPANY:
Name:
_Not Applicable
Address: Are
Address:
City: M\wn:
Zip:33w35 Phone
State: r,
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:. 210N. Su°way o�
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.
(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 thepermit 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 recording vour Notice of Commencement_
Signatty e o wner/ Lessee/Contractor as Agent for Owner
SC igW tur of Contractor/License Holder
STATE OF FLORIDA
STATE OFF
COUNTY OF
COUNTY OF AA 2 I C04I
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledgei;Lbefore me
this � day of M-v ernba ( . 201f. by
this day of �T24_ c 20 /73 by
lei
J W; 111�s.s
Name of person making statement
Name of pers n making statement
Personally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
P rod u ced.f ma_L &21 S-
Produced rd L
(Sig atu N t Public- St
nature o Notary Publllcl,�tyje of
s *-, F1ulNMISSION # GG2
Comm idn No. ca 3
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No. •`
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REVIEWS
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MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
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REVIEW
DATE
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OP
• •Co.••\,
RECEIVED
DATE
COMPLETED
Rev. 8/2/17