HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3'° S Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Demolition
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Address: 2706 ESSEX L..
Legal Description: SHERATON PLAZA-UNIT THREE REPLATLOT 221 (OR 203-705)
Property Tax ID#: �—"� " 1 6 t):7 k�nn Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Demolition of residence. For St. Lucie County.
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Additionalwork toe e orme under this permit--check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric ElPlumbing OSprinklers Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 5"0 00 Utilities:[]Sewer Septic Building Height:
®Wr RL'ESEE: CO TRr0. f`OR:
Name Leroy Adderley Name: Robert Ambrosius
Address:2706 Essex Ct Company: One Call Property Services, Inc.
City: Fort Pierce, State:FL Address: 7804 SW Ellipse
Zip Code: 34946-9124 " Fax: City: Stuart State:FL
Phone No. Zip Code: 34997 Fax: 772-409-8620
E-Mail: Phone No. 772-223-8400
Fill in fee simple Title Holder on next page(if different E-Mail: Brent@onecallprop.com
from the Owner listed above) State or County License: CGC1519002
If value of construction is$7500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: ___,Not Applicable MORTGAGE COMPANY: _ _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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,l 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
commencing work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Sig�re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF K6- 41 A
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this _day of, , 20 14 by this So day of lip•^ I ,201-7 by
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(Name of person acknowledging) (Name of persoackno ledging)
(Signature of Notary Public-State of Florida) ('Signature f Naftal Public-State of Florida)
Personal) Known OR Produced Identification Personall 'Known OR Produced Identifica
Type of Identification Produced Type of Identification Produced �fl
.
Commission No. (Seal) Commission No. 'Se�L}� ,o�t ..
Revised 07/15/2014 o: FF074802 s
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLP///ro E
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW VIEW'
DATE
COMPLETE
INITIALS