HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: Az
SCANNED Permit Number: Il
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St. Lucie Countv
RECEVED
----- — -- Building Permit ApplicatioSI ,A
anning and Development Services
Bluilding and Code Regulation Division Petmttt��cDe°�
2300 Virginia Avenue, Fort Pierce FL 34982 /
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V
PERMIT TYPE:
PROPO$ED'IMPROVEMENT LOCATION: .
Address: 8555 Gallberry Circle Port St Lucie, Fl. 34952
Property Tax ID #: 3A5-703-0135-000-7
Site Plan Name: Savanna Club
Project Name: Theresa Pino
Lot No.12
Block No. 24
DETAILED DESCRIPTION OF WORK:i z f
Removing existing wall to enlarge shed by 3 ft. flipping door & window.
Removing exsisting screen wall. Pouring concrete slab 8'x1 Vand screening in.
Remove exsisting pan roof and replace with composite roof.
CONSTRUCTION !INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 12,150.00
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: —Sewer _Septic
—Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE
CONTRA-
OR: .-
_.
Name70nett%aecL ►`2fiP1p
Name: KOO 14Q+1de%
Address: R556
Company:_ l )V);%c,, V4ty1vdlyU4w% a LO; &.CLO
City: TCX3-3V LAAc.:-C State:ri
Zip Code: 3y1S 2 Fax:
Phone No.
Address:'-$$O 4212A .SVTfir,*
City: _QGAYK CAN State:.
Zip Code: M 1%9 J Fax:
Phone No 1Z2 LI%L1}UO
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailQtSVct%11eSB OL#A:i — GAL4*V VL4V 1.
State or County License CB C.0a 5 1ISe
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: �,$v�R,G�wPPXt�I
Name:
Address:
Address:
City: State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
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. 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR 4N ATTORNEY BEFORE RECORDING YOUR NatICE dF COJAMENCEIiII
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDa � 7
STATE OF FLORID
COUNTY OF VVI%LVt—I/�
COUNTY OF
The fp r ping instru ppe }t sack wledged fore me
this day of U 1 20 by
The f r ing instr m s ac nowledged before me
this Lday of 200 by
&tr( rcaow
iral of
Name of person making statement.
N me of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identificatio
Produced
Produced
(Sigbathre of otary((Public- State of orida)
(Signs ur of N tary Public- State of F brida )
Commission No.ObG-315(C)Z (Seal)
Commission No. (Seal)
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