HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 23- 1 SCANNED Perr
BY
RECEIVED
St. Lucie Countv
Planning and Development Services Building Permit Applicatio AUG 2 3 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permiqing
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I
Address:
Legal Description:
Property Tax ID #: 4,v- 17, — wo C-), 00
Site Plan Name: Villa Del Sol
Project Name: Villa Del Sol Concrete Restoration Bldg # 5
Setbacks
Back: _ Right Side: Left Side:
Lot No.
Block No.
Concrete Restoration for building #5 Unit Numbers 5-A, 5-B, 5-C, 5-D, 5-E, 5-F, 5-G, 5-H, 5-1, 5-J, 5-K
and 5-L.
AaaitionaiworKTODe-PerTormea unuerinispermii-CrIeCK2111 apply:
1JHVAC 0 Gas Tank E]Ga� , - Shutters E]Windows/Doors
11 Electric El Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1000.00 5 Ft of First Floor:
Cost of Construction: $ 36,000.00 Utilitiest Sewer OSeptic Building Height:
C ts
NameMathers Engineering 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: CGC1�206JA_42
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
-, 14
PPL�EMENIA6XO,N�,S—,TRUCTION-LIE�N
o�
I '
DES[GkgR/ENGINE'ER:
Name: mathem Engineedng Corpomfion
Not Applicable
MORTGAGE CO MPAN Y:
Name:
Not Applicable
Add reSS:2431 SE Dbdeiilghay
Address:
City: st�ad
Zip: 34996 Phone 772-267-0525
State: . FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: —
Name:
Not Applicable
BONDING COMPANY: —Not
Name:
Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permitto do the work and installation as indicated.
I certifl no work orinstallation has commenced priorto the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 14ict 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 youintend 0 Obtain financing, consult with lender or an attorney before
commencing work or recording your Notlilce of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgPing inst as a nowledgeobefore me
*4a: �sa
th day of by
otc ng I tin
The fo I I n
t h Q . day of
was acknowledg before me
� �sacknowl
by
ke. en
rc;e� �o
'Kame of personi m—aking-9tatement v�
Name of person makirig siatement
Personally Known _ OR Produced Identification
Personally Known
OR Produced Identification
Type of Iden if'. J n
Type of Identificati
Produced
A C'�
Produced
L
(Signature ofaQUAII.&
(Signature of Notary P
.
11 %" ' , *_ KAR
Commissi:n State oil Wlwid-.ZaL�' 'Public
Commission No.
KA REN S. NIELSEN
State of rNotary Public
�Wmp' G 207484
# G
Comm
s'C
Commi sion
my Commission Expires
dl"� my C
June 12, 2022
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Rev. 8/2/17