HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONNO
ALL APPLICABLE INFO MUST BE euAPLETED FOR APPLICATION TO BE ACCEF_
Date:
SCANNED Permit Number:
�y
St. Lucie County
Building Permit ApplicLation :RECEIV
Planning and Development Services 7
Building and Code Regulation Division 0
2300 Virginia Avenue, Fort Pierce FL 34982 JAINO 2 20197
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Res'dffin �l
e eJUHLY, Per—milttina
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 1 SILVER OAK DRIVE
Legal Description: ST LUCIE GARDENS S/D
Property Tax ID #: 3414-501-1701-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF,WORK:
Cl ( 5 t,-x 1 &e
d4lle lip
�A c&
CONSTRUCTION INFORMATION:
Aclaitional worKtobevertormed under this permit —check all apply:
R1HVAC U Gas Tank E]Gas Piping Shutters E]Windows/Doors
DElectric El Plumbing [:]Sprinklers E]Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: Soc Ft. of First Floor:
Cost of Construction: $ 0 utilities: L]Sewer ElSeptic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORPORATION
Name: JORDAN KOHN
Address: 12804 SW 122ND AVENUE
Company: ALL AROUND BUILDER INC
City: MIAMI State: FL
Zip Code: 33186 Fax:
Phone No.
Address: 49 N FEDERAL HWY 307
City: POMPANO BEACH State: FL
Zip Code: 33062 Fax: 855-954-2845
Phone No. 855-954-2845
E-Mail'
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail: JORDAN@ALLAROUNDBUILDER.COM
State or County License: CA18 1947,5
I _� VIM,
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
Iq
SUPPLEMENTAL CONSTR6-CT'ION LIEN LAW INFORMATION:
DESI&GNETIEER:
I of " , 9f ,
Name. - �) & -5f el�
Not App ica e
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44, e, 14�m(Ajmib:
9"GE COMPANY: Not Applicable
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Address.
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Address:
Cit
Zip: Phone
V__ State:'
N
City: State:
�Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY: —Not Applicable
Name:
Address: 49 N FEDERAL HWY 307
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 Coun t makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conWict with any applicable Home Owners Association rule�, bylaws or an9covenants 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
rnmmpnring work or rprordinLy vour Notice of Commencement. ____?
Signature of Owner/ Lessee/Contract6r as Agefit for Owner
Signatu r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF
COUNTY OF
The f orgoing instrument was acknowledged before me
The forgoing instrument was acknowledge before me
�
this Qr�*day of 20.�5( by
this _LL_ day of 0F C: 20 by
lk;�C_
C�� 0(4,\ kv��
Name of person ,p0ig statement
of erson making statement
of p
Personally Known OR Produced Identification
e6rso�nallyKn OR Produced Identification
Type of Identification
Qype o
j>tifification
Produced
ftM-ced
_Vninature of Notary IJc- State o ida
(Signaf(fe-of ry Publi, Mpf Floriftert BUIneS
"ki
Commission No. Comm"ISM'
Y
cornastif GG02290
Commission No. 4� 21, 2020
187647
EXPIRES: February 23,2019
Expi ust
Banded thrU ilkaton'Notary
Sonde I Thm Notuy Pdrc Undwmleg;
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
J-01,
DATE
COMPLETED
Rev. 8/2/17