HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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I I� I ' O 43
Date: 10/11/17 SCANNED Permit Number:
'Kmal
4 - _ St. Lucie Countv
Building Permit Application NOV 2 0 2017
Planning and Development Services PERtfinTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982 X Residential
Phone:(772)462-1553 Fax:(772)462-1578 Commercial
PERMIT APPLICATION FOR: Alteration
PROPOSED IMPROVEMENT LOCATION -__
Address: 1321 Lancewood Terrace, Palm City, FL 34990
Legal Description: Harbour Ridge - Plat 9 - Lancewood village Unit 11 or 3990-101
Property Tax ID #: 4426-804-0021-000-1 Lot No.
Site Plan Name: Reffitt Residence Block No.
Project Name: Reffitt Residence
Setbacks Front Back: Right Side: Left Side:
DETMLED'DESCRIPTION`OF WORK
RE (Au r`E K rTcHErJ y M An)A 6 H-r14, WE
CONSTRUCTION INFORMATION: - -
mona wor to e e orme un ert ispermrt—c ec a appy:
UGasTank ❑]Gas ❑Windows/Doors
0HVAC Piping _Shutters
oSprinklers O Roof pitch
❑✓_ Electric 0 Plumbing Generator Roof
Total Sq. Ft of Construction: 5 Ft. of first Floor:
DSeptic
Cost of Construction: $ Q��� Q� UtilitiesilSewer Building Height:
OWNER/LESSEE:
CONTRA(ftOR: _.
Name Donna & Ronald Reffitt
Name: Accvg&7c f C17140°. GELS" IW&J
b/
Address:1321 Lancewood Terrace
Company: J E R P I
Address: 7193 601107T PL-
City: Palm City State: FL
Pw- �T L x- w State:�
Zip Code: 34990 Fax:
City:
Phone No.231-499-5042
Zip Code: 3gc)b Fax:
77a` g7S 9i71
E-Mail:
Phone No.
ACCOKATEE L.ECT2iC. PS L-@, 00 LCOk- CaM
Fill in fee simple Title Holder on next page ( if different
E-Mail:
from the Owner listed above)
State or County License: EC00e+3071
If value of construction is $2500 or more, aRECORDED Notice of Commencement is required.
cI IPpl F:MV FNTAL CONSTRUCTION LIEN -LAW INFORMATION':;:. _' `• `���
DESIGNER/ENUMLLR: • NOT Appucduie
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: . Not Applicabe
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
Zip: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyv makes no representation that granting a permit will authorize the permit holder to build, the subject structure
which is in confiictwith any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration of the granting of this requested permit, I do hereby agree than will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, cons u} ith lenderoj an attorney before
,nmmanrina v ntlr-nr rprnrdinE vour NOtiee of Commencement. // _ �/
7
STATE OF FL
COUNTY Of
1
Owner
The for oing instrument was acknowledge efore me
this 7day of� 20 by
i
Personally Known
m ' •�,
Type of Identification
.'8
Commission No: ••.r,..: r$` (Seal)
Revised 07/15/2014
STATE OF FL(f1i1DA 62&G
COUNTYOF �J
The forgoing instrmentwasac owledged before me
this�dayof.�O /_:Z_by
��y�t � t r�7-✓
(Name of person acknowle ng )
(Signature of Notary
Personally Known 2
Type of Identificatior
Commission No. _
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