HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
-I.1`14unoo 0131-111S
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Building Permit Application QQ 11 �1
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 ResidQla ' ..
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRQPOSED INiPROVEMENT'LOCATION,
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Address: IOnno<f7(� �OIYC�
Legal Description: . IOM "on o Y :P(,l� ('� 'i>&ft \60L0aP L7.i— ('3
Property .1ax ID#: 332` SIN— On(�A. poo—5 Lot No. 13
Site Plan frame: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILE�DDECRIPTION
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R*,-p a& W l 0-JO1-05
C-11 77
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Additionalwork toe e orme under this permit—c ec a appy:
HVAC Ei Gas Tank []Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
f 00
Cost of Construction:$ t I S(a Utilities: _Sewer Septic Building Height:
`01NNER/LESSEE ��` ��`'���: : iCONTRACTOR.'`
NameU f' 11/7 e 'Zoo C, 5 Name: Michael ODonnell
Address:_i3bl p `CocY\ posh i QA_ Company: ODonnell Contracting LLC
City:_ontk Sk A-° (a P State:� Address: 2125 SW Hayworth Ave
Zip Code:,,:qq eU Fax: City: Port St Lucie State:FL
Phone No. '7W—Ll LW - a1(g( Zip Code: 34953 Fax:
E-Mail: Phone No. 772-408-0200
Fill in fee simple Title Holder on next page(if different E-Mail: rcodonnell311@gmail.com
from the Owner listed above) State or County License: 27071
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CQ'P4 UCTIQN LIEN LAIN INF;�RMATI�N` H ,
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. 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.
J/ - , Z (�"(' — /—/
s
ignature of Owner/Lessee/Agent ignature of ontractor/License Holder
STATE OF FLORIDA - STATE OF FLORIDA
COUNTY OF 6� Lt f.«-t° COUNTY OF 64– Luca-p—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of -E 20 _'jby this JAI day of -f— 20 J_,--iby
(Name of person acknowledging) (Name of person acknowledging)
O Z6
(Signature of Notary Public-State of Florida) (Signature of Notary Public- tate o lorida )
Personally Known V OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. mmission No. °:�".•Y`a�; (SeadALE FULLER
"""" FULLER GALE
'•p, I'€ MY COMMISSION#FF064 8
9`.........:
Revised 07/15/2014FOFFOP<= EXPIRES October 20,20 (407)398-0153 Floridallotaryservice.com
(407)398-0153 Floridallotaryservice.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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INITIALS