HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date�
Permit Number:
Building PerM"4/ RPl cation
Planning and Development Services BY
Building and Code Regulation Division 8t,
1300 Virginia Avenue, Fort Pierce FL 34982 Lucie County
P.,.�:Y -� AAF I
BY:m.
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
s 4 ! r x
�PROP,,OS.ED,.IWIPROUEIVIENT LOCATION:r
Address: 4275 North A1A
Legal Description:
Property Tax ID #: 1423-120-0012-000-8
Lot No.
Site Plan Name: Block No.
Project Name: Ocean Harbour Villas Identification Signage - South,
Setbacks Front ack: Right Side: LeftSide:
(x1) Color Core post and panel with routed face. Community identifacation sign. Sign will be attached
to:' 16l " white painted aluminum square channels over pressure treated wood. Sign to be
i stalled 54" in ground with a 24" cement diameter. Height of the sign above ground will be 72" & width
I
:...:. I ona v
s uvnr.
I
f P�n_t
L.1 Gas Tank UGas Piping
Electric_:. 0 Plumbing
Total Sq. Ft of Construction:
Cost of Constxuction: $ 1050.00
Sprinklers
Shutters ❑ Windows/Doors
Generator 11 Roof
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
Roof pitch
OR/SEE;-
. , WNELES
_cL
CONTRACTOR';.`rd
NamOCheryl smith
Name: Darryl Simpson
Address:4235 North AtA#13 - =
Company: Simpson Developer
City: Fort Pierce State:FL
Zip Code: 34949 Fax:
Phone No. 772-834-5487
Address: 210 NW 15th ST
City: Pompano Bch State:FL
Zip Code: 333060 Fax:
Phone No. 954-295-4764
E-Mail:ohvhoa@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: simpsondeveloper@aol.com
State or County License: FL
of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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�LEiVtENT LGORISTRU � � QNrLtENiA�f IRCFt3RMATlON
"'� �$� ���5 ���' �'��"� >r,4:
DESIGNER/ENGINEER: _ Not Applicable
Name'
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address: A, `
City: State:
Zip: Phone
City: r State:
Zip: hone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY- _Not Applicable
Name:
Address:
City:
Zip: Ph ne:
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucie C
which Is io
structure.
to the permit holderto build the subject structure
or and covenants that may restrict or prohibit such
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 Co encement may result in your paying twice for
improvements to your property. A Notice of Commencem nt ust be recorded and posted on the jobsite
before the first inspection. If you intend to obtain frnanci g, co suit with lender or an ttorney before
commencing work or recording vour Notice of Commenc men i
j Signature of ar/ Lessee/Contractor as Agent for Owner
Signature of bntra r/-fjce Holder
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF
COUNTY OF 3UJAR-E>
The forgoing Instrument was acknowledged before me
The forgoing instrulnent was acknowledged before me
this4i dayof 20.a by
this -1-1 day of 0 20JB by
/hloJ
t
04MI SIM NJ
Name of person making statement
Name of e_rson ma rng tement
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identifcation
Type of identification
Type of Identification
Produc d t>L-
Prc_dvCeV
ignat
r tary PKWW L� Eiq�EtWi1w)
(S' nature of of Pub -
Commi
-,h::�wew,
-� 'O My COMMISSION 0 FT120-
J I)
F ANCIS J.STEWART
; �- nNOXI MT1ic - Stare of Fbritla
Commission No. Cb
- . c- Y MITI, x ires-Au-25,-201
3 • •.: p
sf,; y.�: Commission # FF 154075
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rye �."!W FWidaNcmrysenicc.eam
Bonded thfouciii Nati . n.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
QEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIE
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
3IiNI
Rev.8/2/I7