HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
6/19/15 /T�-7–��
Date: Permit Number:
RECEIVED
Building Permit Application JUL 1' 7 2015
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 xxxxxxx Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
Address: 10701 S OCEAN DR
Legal Description: VENTURE OUT-SECTION C TRACT ONE(OR 270-1408
Property Tax ID#: 4511-805-0000-010-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF,WORK„
install electric wiring to new intake air fan 1 install power for kit hood fan / replace panel in kitchen @
rec hall kitchen
CONSTRUCTION`1NFORMATION
Additional work to be nerformed under this permit–chelT appy:
❑HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
❑✓—Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1,650.00 Utilities: Sewer[]Septic Building Height:
OWN ER/LESSf E CONTRACTOR:
Name Venture Three Inc Name: john law
Address:10701 S Ocean Dr Company: law's electrical service inc
City: Jensen Beach, State:FL Address: 5158 nw primm st
Zip Code: 34957 Fax: City: Pt st lucie State:fl
Phone No.229 2333 Zip Code: 34983 Fax:
E-Mail: Phone No. 370 4357
Fill in fee simple Title Holder on next page(if different E-Mail: johniaw5158@aol.com
from the Owner listed above) State or County License: 25284
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION`
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 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.
Ael__�_� �-- s
_Signatur f Owner/Lessee/Agent Signature o ontractor/License Holder
STATE OF FLORID - STATE OF FLORID
COUNTY OF COUNTY OF.
The forgoing instrument was acknowledge
The forgoing ins ent was acknowledged _ g g .ti NAr•
this day o 20this day o 20
(Name of person acknowledging) (Name of person acknowledging)
aahlo-
(Signature
oftary Public� IV State of Florida) (Signature o tary Public-State of Floridaco
Personally Known /OR Produced Identific iPersonally Known ` OR Produced IdecA n
Type of Identification Produced Type of Identification Produced a
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS I I I J1