HomeMy WebLinkAboutBuilding Permit Application •� o��v
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / L
Date: Permit Number: 1 So��"�—C��
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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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
FRO.POSED IIVIPRO.VEIVh'ENT LOCATION '` '
Address: 9339 World Cup WAY
Legal Description: POD 20A AT THE RESERVE PUD II CASTLE PINES LOT 58 (MAP 33/27S)(OR 3537-1809)
Property Tax ID#: 3327-801-0066-000-2 Lot No.
Site Plan Name: Alan Schmalacker Emma Schmalacker Block No.
Project Name: Alan Schmalacker Emma Schmalacker
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION}OF WORK: ' -
50GAL ELE WATER HEATER CHANGE OUT
CONSTRUCTION IIVFORIVIATIO:N
'.Additionalwor to be performed under t ispermit—cneCK all appy:
ElHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
RElectric Plumbing Sprinklers 1:1 Generator El Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 550.00 . Utilities:0Sewer 0 Septic Building Height:
01NNER/LESSEE °, . :-A < °'CONTRACTOR.;;. $F
Name Alan Schmalacker Emma Schmalacker Name: ERIC NERENBERG
Address:9339 World Cup WAY Company: SERVICE AMERICA
City: PORT SAINT LUCIE State:FL Address: 2755 NW 63RD COURT
Zip Code: 34986-3285 Fax: City: FORT LAUDERDALE State:FL
Phone No.203-283-1777 Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100 EXT 5673
Fill in fee simple Title Holder on next page(if different E-Mail: EPERMITSGROUP@SERVICEAMERICA.COM
from the Owner listed above) State or County License: CFC056891
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUt''PLEM
ENTAL.CON STR�UCTION LIEN`L°AW INFORMATION a
�. .
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, 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 Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If y u Intend to obtain financing, consult with lender or an orney before
commenci work or recordi our Notice of Commencement.
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s Slgnatur� of Ov✓n r/ essee/Agee 5lgnat r' ofConYr c r-/Llceise� older .fir
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STATE OF FLORI STAT OF FLOR A
COUNTY OF SAINT LUCIE COUNTY 9F,SAINTLUCIE
~The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this day of 20 _by this 25 day of 7 20 by
ERIC NERENBERG ERIC NERENBERG
(Name of person ackn wl In r e son ac(Nam of per o Iedgi g),
(Signatu f of No ary Pu bli - ate of Florida) (Sign aUj1detificat
ota blic-State of Florida)
Personally Kno n x R Produced Ident•f i� Persopawn OR Produced identification
Type f Iden' ication Pr SON Type f+eK #FF 07 �
'p1 Py' JESSICA DOT
= •: MYCAMMISSION 2017 MYCOMMISSI F 2984
e.; ?*= ovember25, Commission No. _.: Q;2017
Commission No. � a�d j Thru taryFoblwundervrtiters RES:Novo
Sonde d Thtu Notary Public Undenniters�fif,�e" '�4f.��"•'
Revised 07/15/2014
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