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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ALL APPLIC PLEI4F i Date: II Permit Number: c� SCANNED Building Permit Application BY Planning and Development Services St. Lucie County Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial yes Residential PERMITAPPLICATION FOR: Renovation PROP®SED Itt�tPR®UE T I QC�ATIt N n { Address: 100 SW AIROSO BLVD PORT ST LUCIE FLORIDA 34983 Legal Description: RIVER PARK UNIT 6 BLK 55 LOT 1(MAP 34/28N) OR (3237- 1566) Property Tax ID #: 3419-545-0001-0006 Lot No,34/28N Site Plan Name: YES IS ATTACH Block No. 55 Project Name: DUMPSTER CAGE PANEL(wood) Setbacks Front Back: Right Side: Left Side: 771 I TOOK OUT 3 OLD BROKEN WOOD PANEL FROM MY DUMPSTER CAGE AND REPLACE 3 NEW WOOD PANEL FOR DUPMSTER CAGE CLlNS�TiRUCTI@it1 tNF�RMATY©N: »,.z.... rtiona wor to e e orme un ert ispeFMF—c ec a appy OHVAC M Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors _ Electric Plumbing Sprinklers ❑_ Generator Roof Total Sq. Ft of Construction: 26 FT S Ft. of First Floor: Cost of Construction: $ 421.50 Utilities:�Sewer Septic Building Height: OWNER'%LESSE.E CONTRA @R: NameJEREMY MADHUSUDAN AND NEILL MADHUSUDAN AMIN Name: NO Address:7507 SIKA DEER WAY Company: City: FORT MYERS State:FL Address: Zip Code: 33966 Fax: City: State:_ Phone No. 772 342 4568 Zip Code: Fax: E-Mail:mamin19@comcast.net Phone No. Fill in fee simple Title Holder on next page (if different E-Mail: from the Owner listed above) State or County License: If value of construction is $2500 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 TITLE HOLDER: _ 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 ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws that or andpcovenants 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 commencing work wi recording our Notice of Commencement. Signature of Owne Lessee/C t ractor as Agent for Owner Signature of Contractor/License Holder STATE OF FL IDA / COUNTY OF C,�L STATE OF FLORIDA L� C_ COUNTY OF The or oing instru ent w ack owledg efore me The forgoing instrument was acknowledged before me this day of 20l pby this _ day of . 20_ by -erg n (Name of acknowle (Name person ging) (Signature of Nota ublic- State of Florida I of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identi Type of Identification Produced Produced :.ion"" ANGELA M HUFF l Notary Public- Commission Np.� (ggplar Florida Commission No. (Seal) mission # FF 234730 ` My Comm. ,,oP;:` Eaplres May -i MrOughNational No ary qss. REVIEWS FRONT ZONING— "`SUPE VISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.