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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date-jp&/��` I�5_ Permit Number: 15 a1;; —(3 d 1 3
RECEI1 .7D JUN 0"12015
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: g—w���ow poo
PROPOSED I,MPROUEMENT LOCATION
Address: 8111 S Indian River Dr. Fort Pierce FI 34982
Legal Description: 183641 THAT PART OF N 110 FT OF S 802.89 FT OF GOVT LOT 3 LYGW OF ALI 300 FTW OF AND I/TOW RAAILI OF SIND RIV DR AND E
IND RIV DR AND E OF FEC RR AND ALSO 109.11 FT OF S 692.89 FT OF LOT 3 LYG E OF FEC RR-LESS IND RIV DR-(3.68 AC)(OR 3558-2457)
Property Tax ID#: 3518-311-0003-000-5 Lot No. 3
-Site Plan Name: Block No.
Project Name: Liddell
Setbacks Front X n Back: X Right Side: X Left Side: X 11
DPTION "0'
K
Replace 36 Windows and 1 Door Size For Size with Impacts
CONSTRUCTION"INFORMATION:
Additional work to be nertormpd under this permit
�... e_ check all apply:
❑HVAC Gas Tank ❑Gas Piping _Shutters ✓ Windows/Doors
Electric ❑ Plumbing [_]Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 62,341.00 Utilities:Sewer F]Septic Building Height:
S F
01NNER/LESSEE x :„ CONTRACTOR: x
- ti
Name Liddell Jack and Kim Name: Boysie Ramdial
Address:8111 S Indian River Dr Company: The Home Depot @ Home Services
City: Fort Pierce State:FL Address: 674 S. Military Trail
Zip Code: 34982 Fax: City: Deerfield Beach State:FL
Phone No. Zip Code: 33442 Fax: 407-469-3499
E-Mail: Phone No. 407-469-5599
Fill in fee simple Title Holder on next page(if different E-Mail: brian.kirby@expeditepermit.com
from the Owner listed above) State or County License: CRC046858
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
�r.. �r.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:' F. . _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;thepermit 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
commencing work or recording our Notice of Commencement.
Signature of Owne /Agent/Lessee Signature-of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ©,TCOUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Y 20�by
this day of PRAY 20__Ig by
(Name of person acknowledging) (Name of person acknowledging)
ature of Nota��OR
of Florida ) (Signature of Notary Public-Sta of Florida)
5 '
Personally Knownduced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (S°� Commission No. o (S�I$k goDtos .
STATE OF GWA NbTARY.OE
:R(1BUC
Explrea 1211612018' rCamr4,Mii63545
Revised 07/15/2014 6/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW 'REVIEW
DATE
COMPLETE
INITIALS