HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �%. 1 d SCANNED Permit Number: )A 1 a' (3' o a
BY RECEIVED
St. Lucie County
Building?ermit ApplicatiCnDU 1Planning and Development Services cie County, PermittlnBuilding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
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 C ayA at II
PROPOSED IMPROVEMENT LOCATION:
Address: 5047 N. HIGHWAY A1A 1803 FORT PIERCE 34949
Legal Description: ATLANTIC VIEW BEACH CLUB CONDOMINIUM #1 UNIT 1803
Property Tax ID #: 1414-810-0n93-000-5 Lot No. 5
Site Plan Name: Block No. 000
Project Name: CURTIS
Setbacks Front Back: Right Side:
Left Side:
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CONSTRUCTION INFORMATION:
bona wor to e e orme under tispermit—checka appy:
❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction: ($2 S Ft. of First Floor:
Cost of Construction:$ 91sm-4.0 Utilities:] Sewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dehorah Curtis
Name: Robert Franklin
Address: 15 Stewart Rd.
company: Tropical Dreams Renovations
City: North Reading State: MA
Zip Code: 01864 Fax:
Phone No. 508-494-3669
Address: 241 Thor Ave Suite 5
City: Palm Bay State:FL
Zip Code: 32909 Fax: 321-327-7936
Phone No.321-327-2978
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: trooicaldreams1 l (@wmail.com
I State or County License: CGC1516207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIOWLIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: N/A
_ Not Applicable
MORTGAGE COMPANY:
Name: N/A
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name: N/A
_ Not Applicable
BONDING COMPANY:
Name: N/A
_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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with 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.
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
comrvAcing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractoras Agent for Owner
Signatur f Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Saint Lucie
COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 2 dayof November ,2018 by
this 9 dayof November ,20j8 by
Deborah Curtis
Robert Franklin
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification X
Personally Known X OR Produced Identification
Type of Identification
Produced M 6 at 1= XP 71 Z II ZZ.
Type of Identification
Produced
(Signature of N tary
(Signature of
,96 CAMU,I NABER
Commission No.
CANDY NABFR
CommissionL�W.007
—MYCO I6N#GGI73082
#GG
EXPIRES: January 07,2022
EXPIRES: January 07, 2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
'DATE
COMPLETED
Rev.8/2/17