HomeMy WebLinkAboutBUILDING PERMIT APPLICATION,'t` .---
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) 2
Date: Permit Num 1 y
ETHWD
- - -- Building Permit Applation FEB 2 2 2019
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Planning and Development Services Permitting Department
Building and Code Regulation Division St.'Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: SCREEN ENCLOSURE SCANNED
BY
PROPOSED INPROVEMENT LOCATION:2322 OAK DRIVE HUTCHINSON ISLAND FL 34949 St. Lucie CoUntV
Address: 2322OAK DRIVE HUTCHINSON ISLAND FL 34949
Property Tax I D #: 1436-602-0009-000-3
Site Plan Name: GALLAGHER
Project Name: GALLAGHER
CONSTRUCTION INFORMATION:
Lot No.4
Block No. 28
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters -Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction:
Cost of Construction: $ +i Ia S, 00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name MARGARET GALLAGHER
Name:
Address: 2322 OAK DRIVE HUTCHINSON ISLAND FL 34949
City: HUTCHINSON ISLAND State: _
Zip Code: 34949 Fax:
Phone No.
�"'
Company: 1 UyI.P--Pi' ,r�'„L..,Qy'y t`_.t3. yr tC.
Addres i I g�.SV J i �rts'1-
City: o k Cr2 State:,
Zip Code: 3'0 S'q Fax:-
Phone No SL-0-4393
E-Mail:
Fill in fee simple Title Holder on next -page ( if different
from the Owner listed above)
E-Mail I S r
LCA
State or County License
If value of construction is$2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
LNot Applicable
Address:
Address:
City:
Zip: �iW� Phone Ili-�Sa
State: C
-�IGJSS
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
mot Applicable
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 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 Secorded and pgg�d on the jobsite
before the first inspection. If you intend to obtain financing, consult lender or a/r/y3Ctorney before
commencing work or recording your Notice of Commencement.
Fill
Signature of wrier ess
ontractor as Agent for Owner
Kona ure of Contrac r/Licens Holder
STATE OF FLORIDA
STA OF FLORIDA
COUNTY OF sTLUCIE
COUNTY OF STLUCIE
Thef goinginstr�r twa acknowledg efore me
this dayof T�20�by
The fppr oinginstrument was acknowledged before me
this l� dayof20j!�by
1Y1011'Qr2�
IILIahaX
4 Mi ch&&c __ J
Name of perYon making statementi
Name of person making statement.
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Personally Known OR
Produced Identification "
Personally Known xx OR Produced Identification
Type of Id Ificatiori
Type of Identificati
Produced n`lQX I r10t
t 2-C.,
Pro uced
(Signat 0of Notary Public -State id )
ANGELA BORSODI-BIRMI,
Commission No =°% gal6tary puolic- State of
}a Comm*ssion: GG 249
➢r r`° My Comm. Ex i
(Signature f Notary Public -State of
��!( Notary Public State
1�9�a.1L. f 3Y ' �) Francene Ne a 0
i ission No. My co mmissicn GG
25 �a Expires05/23/2022
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Rev. 9/Zb/18 — ' V