HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA LEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:9 C j � I J � � �uno01e��hnj •;S Permit Number. - I
cr
ME.... . .
a3NNVOS
Building Permit Application �SCByN�
Planning and Development Services StFwrfle.Ce un
Building and Code Regulation Division
St. Lucie County, L
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click here
PROPOSED IMPROVEMENT LOCATION...,;
Address:otf'O J,:Pc7751KF 0 I -All. (JN//J /i — AU ; T'oK__V 1'IL-)a--t `—L__
Legal Description: Dixieland S/D-AN Unrecorded Plat -Section 27-35-40 Blk 8 E 105 FT Of Lots 8 And 9 (OR 3469-46)
Property Tax ID #: 2427-801-0108-100-4 Lot No. 8 and 9
Site Plan Name: Block No. 8
Project Name: RPM Realty LLC - Rita Dexter
Setbacks Front Back: Right Side: Left Side:
I'DLIAll LLU UU5CRIPTI )N,OF WUKK;i �'-
Repair of Fire Damage as required to restore including Complete Roof Trusses, Roof Sheathing &
Metal Roofing, & Partial Drywall, Insulation, Electrical, Mechanical A/C, (4) Windows, (4) Hurricane
Shutters, Cabinetry, Painting & Minor Plumbing Etc. As Reflected On Submitted Plans
NUU I UUIIdI WUIK LU UC
❑✓HVAC
Electric 0
CI IUI IIICU
Gas Tank
Plumbing
UIIUCI LIM pC11111L—LIICLK dll
❑Gas Piping
Sprinklers
apply:
07 Shutters
LJ Generator
✓QWindows/Doors
W1
Roof V8E Roof pitch
Total Sq. Ft of Construction: 4180 SF Repairs Only S Ft. of First Floor: 2090 SF Repairs Only
Cost of Construction: $ 115,500.00 Utilities: Sewer z Septic Building Height: varies
OWIVEtirLESSEE
�rs c,t ram,' rs.Ma.a a v
f# ,
eSY{ 4 a't
,h(AN7RACTOR
,
Name RPM Realty, LLC - Rita Dexter
Name: Robert J. Maddox
Address:4651 NE Ocean Blvd. #21
Company: RJ Maddox & Associates, Inc.
City: Jensen Beach State: FL
Zip Code: Fax: _
Phone No.315-373-6742
Address: 624 NW Palm Street
City: Stuart State: FL
Zip Code: 34994 Fax: N/A
Phone No. 772-834-5454
_
E-Mail: dexterrmf@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: ntaddoxrj@yahoo.com
I State or County License: CGC 047336
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
0
DESIGNER/ENGINEER: _ Not Applicable
Name: a3eyAelb 1TJNeS
MORTGAGE COMPANY:
Name:
eK Not Applicable
Address:/7,76g f/S �41/E-
Address:
City: 07171 t?Z- State: it
Zip: 3 7 PhoneS'&/-7J -083/
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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 Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict with any applicable Home Owners Assocation 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
commencine work or recordine vour Notice of Commencement.
•
•/License
Signature of of Owner ee/ ontractor as Agent for Owner
Signawre of Contrac Holder
t
STATE OF FLORIDA %
S-�
STATE OF FLORIDA �� ��
COUNTY OF
COUNTY OF L\�C.l`�--`
The f oin instru ent was acknowlecla before me
t1h(,�'s day of ' 2 by.
The for oing instru nt was acknowledged before me
this day of y
",
Name of person making statement
Name of peloymaking statement
Personally Known �_ OR Produced Identification
Personally Known OR Produced Identification «t///�
_
Type of Identification
Type of Identificat'y�
Produced
Produced
�J =
dk
re-,. f o a 'da)
I (Si iat re' f'1 q ,�+ u ic- a �Ga Lf ri
�p�. ANGELA M HUFF
Gpn �p;,,,yyvhiic - State of Florida Seal)
iti;; Notary Puhlic - Stat of Florida
Commissio•;
Commission S FF 234730
'a 2019
? My Comm. Expires May 27,
M
- oo=� My Comm. Expires May 27, 2019 r
ocn t r- - �.
•., � Bonded through National r olxv
om=
—REVIEWS"FRONT
ZONING
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
--� ---
REVIEW
---
REVIEW
REVIEW
DATE
RECEIVED
DATE
-- — _
COMPLETED
Rev.8/2/17