HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:iT�A
SCANNED
BY RECEIVED
_
St. Lucie County
Building Permit Application DEC 21 2018
Planning and Development Services ST. Lucie County, Permitting
9
Building 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: Window/door
PROPOSED IMPROVEMENT LOCATION."'
Address: 7700 PINE LAKES BLVD PORT ST LUCIE FL
Legal Description: PINE SUMMIT (PB 40-13) TRACT D
Property Tax ID #: 3422-596-0007-000-6 Lot No.
Site Plan Name: PINE LAKES Block No.
Project Name: PINE LAKES CLUBHOUSE
Setbacks Front Back: Right Side: Left Side:
DETAILED`DESCRIPTION OF WORK:
REPLACE EXISITING FRENCH DOOR WITH 'IMPACT RATED" DOOR
CONSTRUCTION`,INFORMATION: �j
Itlona wor to e e orme under t Is permit— c ec a apply:
UGasTank
1IHVAC ❑Gas Piping _Shutters Windows/Doors
Electric 0Plumbing Sprinklers Generator- Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
a
z 0
Cost of Construction: $ �/SOo• � Utilities: Sewer Septic Building Height:
=OW,NER/LESSEE: ,..w
GONTRACTOR:.
Name BRCARROLL ST LUCIELLC ':
NBme:. MICHAELJ WALDROP
Addres5:3340PEACHTREE RD ATE 2250}-Company,,.INNOVA_T.);Qhj.CONT,RACTING
INC
_City: ATLANTA., __..-,...,..:' State:GA
Address: PO BOX 12757
City: FT PIERCE State:FL
Zip Code: 30326 Fax:
Phone No.
Zip Code: 34997 Fax
E-Mail:
Phone No. 772-519-9108
Fill in fee simple Title Holder on next page( if different
E-Mail: MWALDROP@INNOVATIONCONTRACTING.COM
State or County License: CGC1511910
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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 l 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 esult in your paying twice for
improvements to your property. A Notice of Commencement must be rded and posted on the jobsite
before the firs spection. If you intend to obtain financing, consul i lender or an attorney before
commencin ork or recordingour Notice of Commencement.
Rev.B/2/17
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DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:Poaox,vsr
Address:
City:
City:
Zip: Phone:
Zip: Phone:
C
u�—reof-07KGr see/Contractor a • gent for Owner
ature o ac nse Holder
FLORIDA
;UNTY
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OF J�- ltiP,O
COUNTY OF 4F. LUlhO
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisj?dayof t`�-2Ce.mhof .201$ by
this_13L�dayof DOC_Qm1ae� .201$ by
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Name of person making statement
Name of person making etement
Personally Known X OR Produced Identification
Personally Known _X_ OR Produced Identification
Type of Identification
Type of Identification -
Produced
Produced
(Signature ofNota ublic- rippla)yPublic- stateafFldrida
(Signature o a lic-S t o F r' a
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Commission Not�v&10�ilublic-State or Florida
Donled through National Notary Assn
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My Comm. Expires Apr 17, 202
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