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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) 'n Date: 10/13/2015 Permit Number: 15�0•odotl • 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 xxxxxx PERMIT APPLICATION FOR: To Select from dropbox, click here ©o N PRtJPOSED ti1/1PR01%EMENT LOCATION Address: 5406 SUSON LANE FORT PIERCE, FL.34951 Legal Description: HOLIDAY PINES SID-PHASE 1-LOT 1 MAP 13/125 OR 3759-1363 Property Tax ID#: 1312-500-0002-000-0 ' Lot No.1 Site Plan Name: 5406 SUSON Block No. Project Name: 5406 SUSON Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK q � y R REPLACE EXISTING-ROOF de b 4kb �.5.�i,.N-16k-e-5 (v CONSTRUCTION INFORMATION 4 Additionalworktof (e Dertormea uncierthiS permit—c ec all tn appy: HVAC L_1 Gas Tank ❑Gas Piping _Shutters a Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S . Ft.of First Floor: 2990 Cost of Construction:$.10176 Utilities Sewer Septic Building Height: OUVNER%LESSEE 3 ;CONTRACTOR f' Name FEDERASL HOME LOAN MORTGAGE CORP Name: MICHAEL HAMM Address:5000 PLANO PKWY. Company: RESTORSURANCE SERVICES City: CARROLLTON State:TX Address: 630 N. HART BLVD. Zip Code: 75010 Fax: City: ORLANDO State:FL Phone No. Zip Code: 32818 Fax: 321-445-5593 E-Mail: Phone No. 407-401-9599 Fill in fee simple Title Holder on-next page(if different E-Mail: JOE.ARRINGTON@RESTORSURANCE.COM from the Owner listed above) State or County License: CCC1329220 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. fSUPP�E11/IENTAL CO`NSTRUCTIO`N LIEN LAW lNFt7RMAT14N '& it i F 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 m y m ur paying twice for improvements to your property.A Notice of Commencement must be r -posted on the jobsite before the first inspection. If you intend to obtain financing, consul or n attorney before commencingwork or recordingour Notice of Commencement. s _Signature of Owner/Lessee/Agent Sign ture f tractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ORANGE COUNTY OF ORANGE The forgoing instrument w s cknowledged b ore me The forgoing instrument was acknowledged bre me this day of L , 20y this 13 day of OCT 20 1 by ETHAN GREEN 1 MICHAEL HAMM (Name of person acknowledging) (Name of person acknowledging) ( ' tur506f Notary Public-St of Florida) ignat re of Notary Public- tate of Florida) Personally Known xxx OR Produced Identification Personally Known xxx OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. 141835 ( EwoftANW*ton Commission No. FF141835 (Seal) NOTARY PUBLIC OF FI ORIDA Joserh Everett AffW4 t CaTn*FF141835 NOTARY PUBLIC Revised 07/15/2014STATE OF FLORIDA owur Expires 8130/2018 Omy"FF141835 Expirec 8 3=018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS