HomeMy WebLinkAboutBUIDING PERMIT APPLICATION€'
ALL APPLICABLE INFO MUST. BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
Date: 9 i SCABNNED Permit Number:
ansgaarT """ St. Lucie County
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Building Permit Application RECEIVED
Planning and Development Services
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Building and Code Regulation Division ' NPR - 9 2015
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Renovation iii'
Address: 5050 N,Highway A1A; Fort -Pierce, 34949
Legal Descriptidnc'S'110'FT OF N'660 FT LYG E OF A1A
Property Tax ID#:-1414-220-0005 080-S Lot No.
Site Plan Name: SPA SITE PLAN Block No.
Project Name: Walpert Residence
Setbacks - 'Front 25' 1 ' Back: 110' Right Side: 7.7' Left'Side: 7.7'
Pre -construction preparation ofweathered concrete shell4ficl6ding reinforcing and tie steel.removaf and
corrosion protection, concrete repair and crack sealing, and removal of residual form material. Per
attached 'STRUCTURAL SPECIFICATIONS;'REPAIR NOTES AND DETAILS', William P'Stoddard,.Apr
01, 2015 J`
I CONSTRUCTION INFORMATION.,;°
HUUIUUIIdI
❑HVAC
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Gas Tank
U11=1 UIIL PC11111L—W1CGRd11
❑Gas Piping L
-Wply.
Shutters
Windows/Doors
Electric Plumbing
�Spnnklers
�:Gene�ator
Roof a T
Total Sq. Ft of Construction: none
S Ft:
of First Floor:
Cost of Construction:.$ 10,000
Utilities.
sewer.
Septi `
Building Height: A ,"
'OWNER/LESSEE:" #
CONTRAC OR "
Mark Wal ert
Name P
Name: Owner/Builder
Address:4235 N Highway Al #11
Company:
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No.203-778-9950
Address:
City: State:_
Zip Code: Fax:
Phone No.
E-Mail: markwalpert@gmail.com
Fill Imfee simple Title Holder on nexbpage ( If different
from the ownerl'iited above)
E-Mail:
State or County License:
If value of construction is $25tx1 or more, a RECORDED Notice of Commencement is required.
Name: wnixmpstoddaat?srsasl
Address: nn and as Rlver Blvd, suite eat
City: v—Beach State: FL
Zip: 32m . Phone: 772-770-saz2 ,
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
x Not Applicable
MORTGAGE COMPANY:
Name:
X Not -Applicable
Address:
City:
Zip: ,;. : s 4 . ? . Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable ,
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit
St. Lucie Countymakes no representation that is granting a permit will authorize the permit h'olderto buildtheisubiect'structure , • •,
which is In conflictwith 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 Recd d a Notice of Commencement may result.In your paying twice for
improvements to your property. A Notice of Commencement must be recorded.arid posted'on the jobsite
before the first inspection. If you intend to;obtain financing, consult with lender or an attorney before
commencine work -or recordinevour Notice of Commencement. - - x
Signature of Owner/!Lessee%Agent'
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STATE OF FLORIDA: ', ;
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COUNTY OF
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The f oing instru t was ac nowledged�b�fo
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this day of . 20 [�by_¢
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(Name of person acknowledging)
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(Signature AfAotaryPublic-StateofFlori s)
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Personally Known OR Produced Identification
Type of Identification Produced C(g /7n P/'fi!'L.�' (•—
Commission No. (Seal)
Revised 07/15/2014
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Signature of Contractor/Ucense.Holder.
STATE OF FLORIDA'
COUNTY OF
The forgoing instrument was _ knowledged before the
this
20, f rtrbY . „
(Name
(Name
of Notary Public- State of Florida.),,;,
Known OR Produced Identification
No. (Seal)
REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE^
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW'
REVIEW `, "' '
, REVIEWI;; T '
REVIEW'
DATE _ _
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