HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APpLIrAmLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: } SCANNED
C N ED Permit Number:
St. Lucie County
4
Building Permit Application ArTr
Planning and Development Services (/rj � J f
Building and Code Regulation Division 2017
2300 Virginia Avenue, Fort Pierce FL 34982 PERiyr;
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residserhi4 c
PERMIT APPLICATION FOR: Renovation I`-1 III
PROPOSED IMPROVEMENT LOCATION: = III
Address:
C
Legal Description: _A776CH E:i?
ro p e
Property Tax ID #: T! - 0 6 ^ 6L) d (o — 0(:O �- S Lot No.
Site Plan Name: Block No.
Project Name: BATHROOM REMODEL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF.WORK:, III
UPDATE TO COMMON AREA POOL BATHS WITH SOME ELECTRICAL UPGRADE
CONSTRUCTION, INFORMATION;• e ,
Ortiona war to e a orme under�permtt ec a ❑Windows/Doo�
HVf 11 Gas Tank Gas Pip'Ing Shutters rs
ElElectric OPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor: 289
O Cost of Construction: $ 31 Dn -- Utilities:cnSewer 0Septic Building Height:
OWNER/LESSEE: F=
CONTRACTOR:'
Name INDIIAN RIVER LANDING ASSOC. INC.
Name: F.X.WILSON
J
Address: t • 0. IA Z—A-S\
Company: WILSON BUILDERS, INC.
City: STUART State: FL
Zip Code: 3*19 S Fax:
Phone No, 772.— 285- 4432
Address: P-O. BOX 2712
City: STUART State: FL
Zip Code:34995 Fax:772-334-1562
Phone No. T72-288-2000
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: FXWILSON@BELLSOUTH.NET
State or County License: CGCO18396
it value of construction is 5Z50B or more, a RECORDED Notice of Commencement is required.
Sep 2617,12:03p Wilson Builders Inc
7723341562 p.2
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
-
Name:0rkt,CA +3rPID t4
Al A>
Name: Fxwumm
Address-WSFoocoturnve \
Address-
q�ty; smear \
State:
City: sTuWr
State.• _
Zip: sasst . Phone. -Z87�
Zip Phone:
FEE SIMPLE TITLE HOLDER
Not Applicable
BONDING COMPANY:
_Z_NotApplicable
Name:
Name-
Xddre .,,i cwctvra— — - —
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 can 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 forany 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 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
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
,.r4.� rnr,�ina vnn� Alnhira of ('nmmanr[amant_
Signat of ner/ Lessee/C nttactor a ent for owner
Signature of Contractor/License Holder
STATE OF Tf(
STATE OF
COUNTY FORIDA
OUNTYOF�RIDA
—
The fo ping instrwrientwas acknowledged before me
this day of j L=. - . 20 J4 by
The forgoing instrument was acknowledged before me 1
this 17 day of AUGUST m 7 .204 by
Q4 -ZAAer4 F- `r 6RA'(ff !'157-
Y • x ln% 14-S
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Nance of person making statement
/
Name of person making statement
Personally Known x OR Produced Identification V
Personally Known x OR Produced Identification
Type of Identif• lion
Type of Identifion l p) p
Produced �j�
Produced
2 ni9
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a�
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(Sign re of Notary Public- State f lorida)
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(Signature of Notary Public- of Florida)
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Commission No.� 3 (Seal)
Commission No.' (Sea))
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REVIEWS
FRONT
ZONINGJ�ERVI
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PLANS
VEGETATION
SEATURTLE
JURO
COUNTER
REVIEW
OREVI
REVIEW
REVIEW
REVIEW
REtf$W
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17