HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE (", 'PLETED FOR APPLICATION TO BE ACCEPTcu
Date: 0vs • i9 Permit Number:
CpNNE® t BY EAUG
ED
�$. Lucie County
Building Permit Application2019
Planning and DevelopmentServices permitting
Building and Lode Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: _(772)462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �II
Address: 3929 Shoresdie Drive Ft Perice Florida
Legal Description: 3929 Shoreside Drive Tarpon Flats
Property Tax ID #: 1423-566-0006-000/3
Site Plan Name: Cabrara
Project Name:
Setbacks Front Back:
Right Side:
Left Side:
Lot No. 3
Block No.
DETAILED DESCRIPTION OF WORK:,
Pool Fence /y Jul, i M w. • r` r.L JleO' ce :VQ e n c 4S e t• 4 r
)/Grt 9 �o(` toot, •nc��.o<�s fwo - y�irs�t 64by SJe
g wfcs.
CONSTRUCTION INFORMATION:
rtiona workto e e orme un ert ispermrt—c ec a appy:
❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing []Sprinklers❑ Generator ❑ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ Z30,0,
Sq. �Ft. of First Floor: E_
Utilities: ElSewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Luis Cabrara
Name: Alan Tarpell
Address:435 Majoria Ave
Company: AJT Construction Consulting LLC
City: Coral Gables State: FI
Zip Code: 23134 Fax:
Phone No.
Address: 1760 Jog Road Suite 120
City: West plam Beach State: FL
Zip Code: 33411 Fax:
Phone No. 561-799-5900 ext 105
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
•------------
E-Mail: Fran@phoenixcompaniesfl.com
State or County License: CGC-1523854
..__...,..,....w" — „• o ��UWnUE. rvuuce ur a ommencemem: is required.
SUPPLEMENTALCONSTRUt-IION LIEN LAW INFORMATION:
Name:
Address
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDE]�Rt: _ Not Applicable
Name:- 2
Address: owe
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
Zip: Phone:
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 recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF l�
The for oing instrVn)ent was cknowledged &fore me
this X day of �,((�Ll, 2 20 2aby
(Name of person acknowledging)
V Gib
(Signature of Nota Public-StaYof Florida )
Personally Known P tip
Type of Identification Pr u e
;p Frances Dome
Commission No. MYa4sy 120 ZG 002440
Revised 07/15/2014
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The fo oing instr ent was acknowledged efore me
this 2 day of 20 f by
A
(NcTme of person ackno ledging )
(Signature of Notary Public/State of Florida )
Personally Known ""l0i` OR Produced Identification _
Type of Identificationl, 9dAW_"..-..-.....
Commission No. F"� r. Notary Public State of Florida
rances D4&WI)
9 Z My Commission 00 002440
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