HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '
Date: 4 SCANNED Permit Number:
BY
St. Lucie County RECEIVE®
Building Permit Application APR 11 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 J
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSE6,_jj PROVEM NT LOCATION: w'41
Address: 9836 PERFECT DRIVE, ST LUCIE WEST FL 34986
Legal Description: GOLF VILLAS I UNIT 42 (OR 2575-1503)
Property Tax ID #: 3307 7702 0042 000-4
Site Plan Name:
Project Name: CLEGG
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
[1E1AI'LED DESGRIPTIOtOF WORK' *°
CHANGE OU;�,DOOR(S), NO SIZE CHANGE
"CONSTRUCTSION INFORitiIiATION:
I
LJHVAC Lj Gas Tank
11 Electric 11 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1498.58
Piping LJShutters
ars II Generator
S Ft. of First Floor: _
Utilities:i Sewer E]Septic
aWindows/Doors
Roof
Building Height:
QUVNER/LESSEE:
CONTRACTOR:
Name CYNTHIA CLEGG
Name: JAMES D. DAVIS
Address: 9836 PERFECT DRIVE UNIT 42
Company: J&G CARPENTRY INC.
City: ST LUCIE WEST State: FL
Zip Code: 34986 Fax:
Phone No. 772-812-6387
Address: 13461 79TH CT N
City: WEST PALM BEACH State: FL
Zip Code: 33412 Fax:
Phone No. 561-855-4052
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: JGPERMITS@GMAIL.COM
State or County License: CGCO22831
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEME!I *L CONSTRUCTION UEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
STATE OF FLORIDA STATE OF FLOT
COUNTY OF S7-44J '_!fe- COUNTY OF % GY✓1 L3QG?C�
The forg ing instrument w s acknowledged before me
this day�ojf Q�] 2019 by
f/�/7�i�i i A
State of Florida )
Personally Known ro cy�' tion
Type of Identificat nor, i,rf
Commission No. CommissloMIFFf189,2018
comin. 6qn.*a
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this �day of�,20 L2by
)av1Pc (�-L�l�r✓s
(Name of person acknowledging)
of Florida )
Personally Known t/ OR Produced Identification
Type of Identification Produced,,aY, 9
+N ANGELAyOUNG
Commission No. Q MylPMYSION#FF 951069
>%o'Y`opP EXPIRES: Ap f 12.2020
$0r I..-. _...
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS