HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDno
(f 2
Date: Permit Number:
tuc1e Cou nnent RECiy
D VED
Housln De ,. art
yiZiaiin Application . OCT 21 2015
Planning and Developm ntt 1� �
� �d by' St. Lucie County, FL
PERMITTING
Building and Code Reg IVIS► E ATTAINABLE
2300 Virginia Aven ie
Phone: (772)462 3 a7 ) - E o Residential X
�.
PERMIT APPLICA ION FOR: Window/door El
PROPOSED IMPROVEMENT LOCATION':
Address: 226 NE Jardain Road , Port Saint Lucie FI 34983 -
Legal Description: RIVER PARK-UNIT 9 PART B BLK 73 LOT 21 (MAP 34/28N) (OR 1674-2256) "
Property Tax ID#: 3419-565-0027-000-6 Lot No.21
Site Plan Name: N/A Block No. 73
Project Name: PLANTE = "
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and Replace all exterior windows
Remove and Replace all exterior Doors
Except for Sliding Glass doors
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit—check all appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters ✓�Windows/Doors
❑Electric E:1 Plumbing Sprinklers R Generator Roof
Total Sq. Ft of Construction: 1472 S . Ft. of First Floor: 1472
Cost of Construction: f
dna Utilities: Sewer Septic Building Height: 8'0
OWNER/LESSEE: -CONTRACTOR:
Name Maurice R Plante Name: Mauricio Orellana
Address:226 NE Jardain rd Company: One Construction & Roofing contractor
City: Port Saint Lucie State:FL Address: 3437 sw Europe st
Zip Code: 34983 Fax:N/A City: Port Saint Lucie State:FI
Phone No.321-223-9907 Zip Code: 34953 Fax: 772-336-9379
E-Mail:N/A Phone No. 772-519-2449
Fill in fee simple Title Holder on next page(if different E-Mail: oneconstructionservices@yahoo.com
from the Owner listed above) State or County License: CGC-1515745
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
9'
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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,wails,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.
Houlga'o f4"Czo CAUCtACL s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Floods 'St- LAA__-P COUNTY OF Ci �
The orgoing instrument was Icknowledged before me The forgoing instrument was acknowledged before me
thiday of 20 Ky this day of S 20 LCI,by
1I
AA AA G1 O O(GA-ILA MdA &(i01 c nr6 I"a
(Name of person acknowledging) (Name of person acknowledging)
,/ AA A. I itLgldl cjv"'!6'
(Signature of NotAry ublic-State of Florida ) (Signature of Not ry Public-State of Florida)
Personally Known Nw/"" OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 1 U�3 b i. p; aal) JENNIFERHANCE Commission No �1 C1 ,•••�:�f a1) JENNIFER FOM
* MY COMMISSION i EE 16030 w _ * MY COMMISSION#EE 16449
EXPIRES:Jwuary29,2016 EXPIRES:January 29,201
A&
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS