HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: 25 AAaiestir Way Hutchinson Island FI 34949
Legal Description: 25 Majestic Way Hutchinson Island, FL 34949 Queens Cove Unit 1 Elk 14 Lot A
Property Tax iD #: 1414-701-0123-000-4 Lot No. —A
Site Plan Name: Sasseville Block No. 14
Project Name: Sasseville
Setbacks Front Back:
Solar Pool Heating System
❑HVAC ❑ Gas Tank
[]Electric ❑Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4100.0
Right Side: Left Side:
Piping
❑_Shutters
❑Windows/Doors
nklers
❑ Generator
❑
Roof
=
Roof pitch
SQ. Ft. of First Floor:
Utilities: 0Sewer❑Septic Building Height:
£ \��
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Name Paul H Sasseville
Name: Frik F nPI anpy
Address:25 hAAajpstir lAfay
Company: Climatic Solar Corp
City: Hutchinson Island State: _EL
Zip Code: 34949 Fax:
Phone No. 207-557-1580
Address: Win 2nd Lane
City: Vern Rparh State: FL
Zip Code: 32962 Fax: 772-567-4553
Phone No. 772-567-3104
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Office-@climaticsnlar rom
State or County License: CVC56671
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.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name- Name:
Address: Address:
City: State: City: State: _
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable I BONDING COMPANY: _Not Applicable
City: I City
Zip: Phone: I Zip:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Installation as inmcated.
1 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or andpcovenants 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. I you intend to obtain financing, consult with lender o n attorney befor
commencingwork or recor ' our Notic o ommencement.
Signat mR Owner/ Lessee/Cop ra ar as a caner
SignaVure of Contrac or/Licey }A Ider
v
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Indian River
COUNTYOF Indian River
The forgoing instrument was acknowledged -before me
The fIo,r�oin instrument was ac nowled before me
by
this' dayof AIrm--pnifJPd.20by
this�dayof-�20LY
Erik F. DeLanev
Erik F. Del an .y
Name of person making statement.
Name of person making statement.
Personally Known V OR Produced Identification
Personally Known V,OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
1
Signature of Notary lic-State of
lgi�/ ; AMANDA
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lic-State
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Commission No. GG'149063
MY COMMISSI
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 1/972617
2021