HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO rflUST E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —4 /5 Permit Number:
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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 X
PERMIT APPLICATION FOR: Window/door
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Address: 306 OLIVE AVE, PORT ST LUCIE, FL 34952
Legal Description: HVER PARK UNIT 2 BILK 20 LOTS 5 AND 6
Property Tax ID#: 341951002860009 Lot No.5&6
Site Plan Name: Block No. 20
Project Name: RIVER PARK
Setbacks Front Back: Right Side: Left Side:
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REPLACE ONE EXTERIOR DOOR AT THE REAR WITH A LIKE SIZE DOOR UNIT 2668, NO
GLAZING, FL# 17454
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Additional work toe e orme under this permit—check a appy:
HVAC ED Gas Tank ❑Gas Piping _Shutters a Windows/Doors
0 Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 450.00 UtilitiesSewer ElSeptic. Building Height: .
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NameWILLIAM &MARETHA LINDSEY w Name: CLIFFORD WELLS
Address:306 OLIVE AVE Company: TREASURE COAST HOME IMPROVEMENTS, INC
City: PORT ST LUCIE State: FIL Address: 873 SW CALIFORNIA BLVD
Zip Code: 34953 Fax: City: PORT ST LUCIE State:FL
Phone No.772-340-0960 Zip Code: 34953 Fax: 772-673-3783
E-Mail: - Phone No: 772-263-9287
Fill in fee simple Title.Holder on next page(if different E-Mail: cliffw505O@gmaii.com
from the Owner listed above) State or County License: CRC 057901
If value of construction is$2500 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,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..
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_Sign ur" o Owner/Lessee/Agent Signature T
ntra or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 'f CL)�s COUNTY OF In W
The forgoing instru ent was acknowledge�, °re me The forgoing instrument was acknowledged bore me
this�day of 20 J_ thi day of 20 by
0 1 1Loa-I (s v (�[ [S
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0
(Name of person acknowledging) (Na of person acknowledging)
(Signature o, (Signature of N tary Public-St to of Florida)
.�`►nill ANGELA M Ht1FF ,
Personally Kn ` IGisiiai�r@ibllcecSi�e'nttiflauf Personally ,n, �'� O �. on
Type of Iden t i obuctdmmisslan#FF 234730 Type of Id rd ,q) e aFp
My Comm.:Expires May 27.201 N� + CZ
Mission FF 23 30
%°�" Banded through Nati Assn. CommissI n iilp„ °P°.' My Comm:Ex Ires;May �W9
Commission o. ." "� �•• Bonded through National Notary Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS