HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: %1 A 1 SCANNED Permit Number:
BY
St. Lucie Countv RECEIVED
Building Permit Applicati n OCT ® 9 2018
Planning and Development Services
Building and Code Regulation Division ST. Lude County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
�PROPOSEDIMPROVEMENTLOCATION_
Address: 16891 Carole Noon Lane, Fort Pierce, FL
Legal Description: 25 35 38 NW 1/4-LESS RDS AND CANALS-(153.01 AC) (OR 1268-1081)
Property Tax ID #: 2225-211-0001-000-2
Site Plan Name:
Project Name: Save The Chimps Patio
Setbacks Front245' Back:2,�75'
Right Side: 1,542'
Left Side: 850,
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
Install paver patio and 33" Tall free-standing wall.
CONSTRUCTION INFORMATION:
Itlona wor to ,Ie_2e� orme under tispermit—check a appy:
JHW LJ Gas Tank []Gas Piping _Shutters ❑I�Windows/Doors
E]Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1,578 Sq. Ft.
Cost of Construction: $ 29.580.00
S Ft. of First Floor:
Utilities:llSewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Save The Chimps, Inc. - fv) a,ek No)4ov%
Name: CHARLES LAW
Address: PO BOX 12220
Company: ALL QUALITY CONSTRUCTION & ALUM., INC. II
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No. '7 ?- - 429 - 22 Z5
Address: 506 XANADU PLACE
City: JUPITER State:FL
Zip Code: 33477 Fax:
Phone No. 561-252-3994
--I
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License: CGCO47434
If value of construction is $2S00 or more, a RECORDED Notice of Commencement is required.
VN
JIh�N :Atl WN_STR CgC i O llf`� LAW I
DESIGNER/ENGINEER: _ Not Applicable
Name:
FflR ONt
MORTGAGE COMPANY. _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State: _
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 repressr!tation that is granting a ermit will authorize the permit holder to build the subject structure
which is In conflict witch any applicable Home Owners AssoCFaation 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
improvemen to your prop. AA
of Commencement must be recorded and posted on the jobsite
before the st inspe Ion. If ou ito obtain financing, consult with lender or an attorney before
comment a work recor Ina votice of Commencement.
1<
/
gnature of Owner/ Less(le/Contractor as Agie-nl for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA ..`;,
STATE OFpL� I A
COUNTY OF �1 n� Lici k
COUNTY OF M Ufa C VI
The forgoing Instrument was acknowledged before me
The forgoing instrumen was accknowled ed efore me
this_adayof 0CbQbQr 20fby
this%rgdayof t�)Y�'� .20�by
Marie- Nor --D,-,
Q.Y .S L61A)
Name of person raking statement
Name of pers n making statement
Personally Known ✓ OR Produced Identification _
Personalty Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
1
Produced
(Signature of NotaYy Public- State of Florida) -
Sign ture of Notary i -W
"Svllp'e"Commission No.
f wr`'k orFlaritlaCO:Ri•41S9i0?d
WRAISiONG0148CommissionNo.
o 0101448 r. '++=
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17