HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONW1
ALL APPLICABLE INFO MUST BE COMPLEiLu'FOR APPLICATION TO BE ACCEPTED
Date: 9/5/18 Permit Number: 63 0�
REcCIVEO &Qq&
Building Permit Application FEB 2.0 20,g 94 Pt,
Planning and Development Services Permitting cc
OLpartment
Building and Code Regulation Division St. Lucle County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential YES
I PERMIT APPLICATION FOR: Addition F-1 III
PROPOSED IMPROVEMENT LOCATION:
Address: 54 E4�� 7F5 4�_,P"
Legal Description: RIVER PARK UNIT 6 BLK 58 LOT 9 (MAP 34/28S) (OR 3688-417 3686 -2618 3708-2375
Property Tax ID #: 3419 545 0047 000 0
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
11 — 7j&-t
C-7
CONSTRUCTION INFORMATION:
---. I ... I., � 1� �. .... cm
�_VA( Gas Tank
U"c .
E]Gas
Pip Shutters
RiWindows/Doors
R] Electric
Plumbing
[]Sprinklers
1:1 Generator
Zkoof
Roof pitch
Total Sq. Ft of Construction:'
56se,rl
S, Ft of First Floor: 600
Cost of Construction: /5_xoso Utilities..
z
Sewer
1:1 Septic
Building Height: 8
OWNER/LESSEE:
CONTRACTOR -
'Name �cj
M0
N ame:*� N qyv, gkwp
Address: 9 R— F5- c�P- n (XI I k hr.)
company: bETAILED LNTERPRISES INC
city: P%, State:FL
'i" _ '-'_�4983
io;C�de: Fax:
Phone No. 613 525 0877
Address:
_PSL_
C State: FL,
Zip Code: 34983 Fax:
Phone No. 772 475 0112
E-Mail:l . I
Fill in fee simple Title Holder an next page I if different
from the Owner listed above)
E-Mail: DFANROBERTS@DEIFLA.COM
State or County License: CRC1 331073
it value or construction is 4z!)Uu or more, a RECORDEO Notice of Commencement is required.
-SUPPLEMENT-ALCONSTRUC�TIONtLIEN-LAW-INFORMAI
DESIGN ER/ENGINEER: Not Applicable
Name:A13RAHAm cRABAB
MORTGAGE COMPANY: Not Applicable
Name:
Address:5428 NW EDGEWATER AVE
Address:
City: PSL State: FL
Zip: �W]3 Phone7728785079
City: PSL State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER- Not Applicable
Name:
BONDING COMPANY: —Not Applicable
Name:
Address:
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 ermit holder to build th6 subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or angcovenants 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 ins=.rdi
rk �,you intend to obtain financing, consult with lender or an attorney before
commencing wo ng your Notice of Commencement.
4 a 2 Lv� a
- I&Ifzen &4
Signature of Owner/ Leisee/Contractor as Agent for Owner-
'Signature of Cantractor/Lic6nse Holder --
STATE OF FLORIDA _1��
STATE OF FLORIDA
COUNTY OF I AIUX
COUNTY OF
The forgo . ng instrument was acknowledged before me
this May of (T- (3 20_(� by
The forgoing instrument was acknowledged before me
this-XOdayof P13 26q by
Rs)�X
Depr\p "4) DA,
Name of person maFing statement
,
Name of person making statement
Personally'Known —OR Produced Identification
Personally Known OR Produced Identification
Type of Identifica
Type of Identification
Produced
Produced
(Signat6re of No
ture of Notary Public- State o
Commission No.
"My
ZLLSIV VA U,
ission No.. re Of Flo -
orrim. rid, -Not
Ission # GG�
Y commissi
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M4
iii4NS
—or w
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REVIEWS
FRONT
ZONING
JlPiRVISC)
T!�"
VEGETATION
SEATURTLE
M ANGR
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17