HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONv II
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ALL APPUCABLE INFO MUST. BE COMPLETED FOR APPUCATIONTO,BEACCEFTEO
Date: 2-17-15 Permit Number. Is -Do? - ma(
SCANNED
Building Permit. Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
23W Virginta Avenue, Fort Pierce A 34982
Phanm(772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select irpim dropbox, click arrow at the and of line
M �VEMENT56'CATIdN7=.—
Addid,.13500 NW GISON RD. PALM CITY, FL 34996
Legal Description: HARBOUR RIDGE -PLAT 2- MAINTENANCE AREA (3AS AC) (OR923-1513)
Property Tax ID #; 405-701-0032-000-2 Lot No.
Site Plan Name: Block No. .
Project Name: GILSON RD. PROJECT
Setbacks Front-- Back: ftlghtSlcle: LeftSid.ei_
DETAILED �DESC �8 QPIT�MQ N 1 0 .Vf W �7W
))EXTERIOR: SIDING AND FRAIVIII&REPAIRS, REAR AND FRONT IJECKIRAMP REPAIRS,
PAINTING
INTERIOR: DRYWALL, FLOORING, CABINETRY, PAINTING
JKq7CST-R—U=dOk
AdamorialworKtoop-ortormed under tnis perm1t-cnRcx all
(3 applir
LJGasTank E]Gas Piping In_Shutters E]Wfndows/Doors
[]HVAC
Electric OPlumbing [JS0rInkIers []Generator 11 Roof
Total Sq. Ft of Construction: APPROX. 1000 Sq. Ft. of First Floon
Cost of Construction: $ APPROX. 28,000 Utilities; Elsew4r 0 sep'tic, Building Height:
LE$—S ----
-00TO
Name &4-&Aa. ze,de, A
PAUL SAMPSON
IV me:_
Address::/ /,ioo
Wmpiny: TLC EXPERTS
City: Si�ate:je/-
Address: 1237 DELAWARE AVE.
Zip Code: 3 -,d2V;Ea Faxi7;rl -alilt 4, gLf
City: FT. PIERCE, State;_'_L'
Phone No. 17 -;rz -
71p Coda: 3490 Fax: 772-468-1655
Phone 772ASS-7626
Phan
K ITH@TILCEXPERTS.COM
E- A Az&,hA)2dy
'Holdero
Fillinfees[m e Itle a
P17 6nn�extpaige 0
'(If cill
State or County License-; CEIC 1258797
from the Owner listed above)
If value of construction Is $400 orMoie, a RECORDED Notice of Commencement Is required;
S
t
DESIGNER ENGINEER: Not A(spllcable
Name:Snok a( MenarA Fir l.'ke4kfe Trl
t. Defo,w4r2 Ave.
Addres,Gi.
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City. State:_
Zip: Phone:
;:.S
City: v;crcr. State:F
Zip:_Tygso Phone: '7-p-Oro-776'f
FEE SIMPLE TITLEHEDER: _NotAppllcable
Name'
BONDING COMPANY: _NotAppllcable
Naioe•
Address:
City:
Address
City.
Zip: Phone:
ZIP: Phone: --
I certify that no work or installation has commenced prior to the Issuance of a permit.
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. Lude County Amendments.
The following building permit applications are exempt from undergoing a full concurrenry 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
'in
pprovements to your Property. A Notice of Commencement must be recorded and posted on the Jobsite
before the first Inspection. If youintend to obtain financing, consult with (ender or an attorney before
_Signature o Owner Les ent nature of Cont «or/License Holder - ---
STATE OF FLORIDA (.ue,, STATE OF
COUNTY OF 17—
- COUNTY OF
Theforgoing instr . was acknow dged before me The fptgitII Instrtynen was acknowle ged,be re me
this day of 20 4ay this day of i� �y
.! t A rY
Commission No.
f IdentlRgtion _ Porsonally K
Type of Iden
(Seal) Commission
&I
�11��i w�•
SCe;�9�
11
Revised 07/15/2019 Viij;� 'tyTNlE�yt`�. II
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