HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt. so,�c�n►�' , .Pere -4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED { Q
Date: 6/13117 SCANNED Permit Number: ` 1
BY
St. Lucie Cour?hl
Building Permit Application 2417
JUN 2
Planning and Development Services `
Building and Code Regulation Division PERiAITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 10979 Wetland Way
Legal Description:
Property Tax ID #: 4509-802-0004-0004
Site Plan Name:
Project Name: Savanna's Preserve Park
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
Wood truss work
CONSTRUCTION INFORMATION:
0-HVAC Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 3,500
Cost of Construction: $ 8,500.00
nn —cnecrc do dppry:
Piping _ Shutters ❑ Windows/Doors
nklers Generator R1 Roof 1/4 Roof pitch /
S Ft. of First Floor: _
Utilities:Sewer 0Septic
Building Height: 22'
OWNER/LESSEE:
CONTRACTOR:
NameTmmp Int. Imp Trust Fund
Name: Matthew West
Address:3900 Commonwealth Blvd
Company: West Construction, Inc.
City: Tallahassee State: FL
Zip Code: 32399 Fax:
Phone No.
Address: 820 N 4th Street
City: Lantana State:FL
Zip Code: 33462 Fax: 561-582-9419
Phone No. 561-588-2027
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: mwest@westconstructioninc.net
State or County License: CGC1516626
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r
' SWRVL'•EMIENTAL�CONSTRUCTION; LIEN LAW, IN FORNIATION¢-, III
,
utJtb lv tK/ tIMb uv ttH: x Not Applicable OR GAGE COMPANY: x Not Applicable
Name: NamMe:
Address: Address:
City: State: City: State: _
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenantsthat may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If yod 7 ie{td to obtain financing, consult with lender or an attorney before
STATE OF G�11
FLORIDA� x _ STATE OF FLOWn
COUNTY OF t�C YYI d`in COUNTY OF- m /SPo�
The fo going instru ent was acknowledged before me The forging instrument was acknowledged before me
this f day of Clary— 20by this day ofJitrP— 20/7 by
Personally Known OR Produced Identification _
Type of IdentificationProduced_
• �„ �$J� INE RIVERA
Commission No. _ :••"°•'cam Comi" 'ion 8 GG 64667
'1.: �_? My Commission Expires
Revised
_A 4e Fria/ l
(Name f p�owledging )
(Signatur Notary Pul
Personally Known X
.Type of Identification Pri
My Comm.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS