HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPUCABV INF9 MUST BE COMPLETED FOR APPLICsW9K,T ,BE ACCEPTED
Date: / ` BY PermitNumber: V ti-aU
A
St. Lucie Count\'
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXXXXXXX
PERMITTYPE:
sc.ceer. �r�.�osore.
PRCiPOSED�MPROVEMENTLL)CATIOia"t`'`
�- . .
Address: 1651 NW SweetBay Circle
Property Tax ID #: 4426-803-0062-000-7
Site Plan Name: Linda L. Miller
Project Name: Miller Residence
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 4790.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER�LESSEE �p
. r'CONTRACTOR
. _.
NameLinda Miller
Name:Craig Rice
Address:1651 NW SweetBay Circle
Company: Pioneer SCreen LLC
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.772-263-8268
Address:3290 SE Slater Street
City: Stuart State: FL
Zip Code: 34997 Fax: 772-283-3028
Phone N0772-283-9197 ext.107
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Bev@pioneerscreen.com
State or County LicenseSCC046064
it value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC j 7 cnn nr n9Lp a RECORDED Notice of Commencement is required.
BEV L. HADOAD
MY COMMISSION # GG 009363
BEV L. HADDAD
MY COMMISSION # GG 009363
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SUPPL MENTALCONSTRUC -ION LIEN Li4W INF.ORMATIOTV
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 AN ATTORNEY BEFORE RE[aRDINIC YnuR NnTirF nF rnmMFNrFMFNT_"
LA
Signature of Co d ractor/License Holder
S nature o wner Lessee/Contractor as Agent for Owner
STATE OF I ,
STATE OF FLQjZIDA
COUNTY OF �
1�
COUNTY OF�C1ML
The rPp$�,mg instru ent was acknowledged before me
thi t ay of . 20� by
The or ng instru nt was acknowledged before me
thiw ay of �n^�� 204 by
n�j
i9 it"�
wQ %�Y,
Name of pddon making statement.
Name of perkin making statement.
Personally Known _LZOR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Pra ced
Produced
iw
#aO44/�,61
�W,
(Signature of Notary Public- State of Florida)
(Signature Notary of Public- State of Florida )
Commission No. 1CP I
(Seal)
Commission No. 1� (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. // 1/ iy
••••,3BEV L. HADDAD BEV L. HADDAD
q: ,
(gam MY COMMISSION#GG 009363 ar,'�•'; ' MY COMMISSION#GG 009363
}._W.i'.,.` EXPIRES: July 6, 2020