HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Pe, C)
BY
It. Lucie County PECEVED
Building Permit Application AUG 2 3 20`18
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: To Select frorn dropbox, click arrow at the end of line I
Address:
Legal Description:
Property Tax ID #: 4 �_
I-?, —
(5 EM90
Lot No.
Site Plan Name: Villa Del Sol
Block No.
Project Name: Villa Del Sol Concrete Restoration Bldg # 4
Setbacks Front Back: _ Right Side: Left Side:
Concrete Restoration for building # 4 Unit Numbers 4-A, 4-B, 4-C, 4-D, 4-E, 4-F, 4-G, 4-H, 4-1, 4-J, 4-K
and 4-L.
L,J Gas Tank
El Plumbing
Total Sq. Ft of Construction: 1000.00
Cost of Construction: $ 35,000.00
Piping 0 S'h'ut'ters Windows/Doors
nklers 11 Generator Roof = Roof pitch
S Ft of First Floor:
Litilities'll Sewer ElSeptic
Building Height:
VN M
.TRACTO,
NameMathers Engineedng Corporation
Name:
Address:
Company: Blue Coast Construction
City: Stuart State:FL
Zip Code: 34957 Fax:
Phone No.772-284-5261
Address:
City: State -FL
Zip Code: 34997 Fax: 772-287-5348
Phone No. 561-632-3529
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail: elie@bluecci.com
State or County License: CGC1P200A2
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
_,I
'M
ANT,
11
mftNA" Z
DESIGNER/ENGINEER; Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:MatMm Enginee&i; CorpomEon
Name:
Address: 2431 SE Dbde Hg"
Address:
City: Stuart State: FL
City:
State:
Zip: 34996 Phone772-287-0525
Zip: _
Phone:
FEE SIMPLE TITLEHOLDER: _NotApplicable
BONDING COMPANY: —Not
Applicable
Name:
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.LucieCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is In co %ict 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
rnmmpnrino work or recording vnur Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF
COUNTY OF
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" ' '14ame-of personi Fria -king statement
Name of person makiAg siatement
Personally Known _ OR Produced Identification
Personally Known
OR Produced Identification
Type of Identifirn
Type of ldentificatimi—
Produc
Produced —
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(Signature o
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Commission State, of F ci,F,&m� Tublic
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C mmission No.
Wo, K
S ate of -i4otary-Public
---- ini #.GG 207484-
E. Commission # (JU 21.11464
Z My commission Expires
My Commission Expires
.1-ne 12, 2022
10 ' June 12, 2022
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Rev. 8/2/17