HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONU�
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-oalALL APPLICABLE INFO MUST BE COMPFETESUAM EDON TO BE ACCEPTED b
Date: BY Permit Numher:
St. Lucie County
Building Permit lication
Planning and Development5ervices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from ropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
804 Shorewinds Drive, Fort Pierce Florida 34986 Units A,B, & C.
Address:
Legal Description:
Property Tax ID #: 1425-701-0019-000-6' Lot No. 18-19
Block No. 1
Site Plan Name:
Florida Beach and Golf Retreat
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and Replace Windows, Remove Stucco, Repair subsiding and Replace with Cement Siding.
CONSTRUCTION INFORMATION:
iuona war to e orme un ert ispermrt-c ec a app y:
0 E]Gas ElWindows/Doors
0HVAC Gas Tank Piping —Shutters
0Generator Roof pitch
11 Electric Plumbing ❑Sprinklers Iml Roof
Total Sti. Ft of Construction: SqI FFtt.I of First Floor:
11 Height:
Cost of Construction: $ a7l�L �rQU Utilities:Ll Sewer Septic Building
OWNER/LESSEE:
CONTRACTOR:
NameFlorida Beach and of Retreat LLC. Moira F. Rekus
Name: Kenneth I. Uppard
Address:7216 Maidstone Drive
Company: Lippard Construction Inc.
Address: 1200 Driftwood Lane
City: Port Saint Lucie State:Fl
City: Fort Pierce State: Fl
Zip Code: 34986 Fax:
Phone No:772'626'7812
Zip Code: 34982 Fax:
Phone No. 772-370.7545
E-Mail:
Fill in fee simple Title Holder an next page ( if different
E-Mail: IippardconsWction@comcast.net
State or County License: CGC1515384
from the Owner listed shove)
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name; Florida Brant erd Golf Retreat LLC. Moira F. Rekus
Add ress:80`1 Shcre iids on.. Fort Pierce Fonda a UN Units AB -
City: Pad Saint Leda State:_
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address: 12M pn+tw lane
City:
Zip; Phone:
MORTGAGE COMPANY: Not Applicable
Name: Kenneth I. UW ,d
Address: 7216 Maidstone O e
pity: Fan Pierce State:_
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
It no work or installation has commenced prior to the issuance of a permit.
re
St. Lucie County makes no representation that is granting a permit will authorize the Uermit holder to build theist or p ohibitstructu
which is In conflict with any applicable Home Owners As_sociabon rules, bylaws or antl covenanu 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 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
STATE OF FLORIR
COUNTY OF 1 �
The fyy��ping instm ent was acknowledged before me
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ing statement
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OR Produced Identification_
Type of Identification
CommissionFF
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(Signature otai!}FWblic'
Commission No. (Seal)
STATE OF FLORIDA y ��
COUNTY OF� O
The fofgoing inctru ent was acknowledge efore me
this / day of )U by
ell
Name of perso along star e
Personally Known OR Produced Identification
Type of Identification I
REVIEWS I FRONT ZONING COUNTER I REVIEW I SREVIEW R REVIEW PLANS I VREVIEWON I SREVIEW I MREVIEW
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