HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: December 1, 2015 Permit Number: /S/� 00 I
RECEIVED
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Building Permit Application
Planning and Development Services DEC 2015
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: To Select from dropbox, click arrow at the end of line
PROPOSED_IMPROVEMENT_LOCATION:
Address: 345 South Jenkins Road, Fort Pierce, Florida 34947
Legal Description: 12 35 39 FROM NE COR OF SE 1/4 OF NE 1/4 OF SE 1/4 AND W RM LI OF JENKINS RD RUN S
ON RD 150 FTFOR POB,TH CONT S 94 FT,TH W 142FT,TH N 94 FT,TH E 142 FT TO POB(0.31AC)(OR2779-2348)
Property Tax ID#: 2312-414-0004-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Complete demolition of vacant houses 1, / 648 sq feet)
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a appy:
HVAC f Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric ❑ Plumbing []Sprinklers ❑Generator E] Roof
Total Sq. Ft of Construction: 1376 S . Ft. of First Floor: 1376
Cost of Construction:$ 2,450.00 Utilities:]Sewer Septic Building Height: 1 Story
OVi/NER/LESSEE;_.,
--—CONTRACTOR:
Name Joseph G. Miller/Walter S. Miller Name: Randle L. Beckford
Address:5500 Orange Avenue Company: L.E.B. Demolition&Consulting Contractors, Inc.
City: Fort Pierce State:FL Address: 7 Harbour Isle Drive East 204
Zip Code: 34947 Fax: City: Fort Pierce State:FL
Phone No.772-461-1746 Zip Code: 34949 Fax: 772-461-2225
E-Mail: Phone No. 772-216-1286
Fill in fee simple Title Holder on next page(if different E-Mail: iwreckn@aol.com
from the Owner listed above) State or County License: 26948
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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 thedpermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an 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 rk or recording our Notice of Commencement.
S
_Signature of Owner/lessee/Agent Signatu of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSAINTLUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I day of M J Pr 20 I-1by this 'at (fay of December2015 ,20 by
Randle L.Beckford) Randle L.Beckford
(Name of person acknowledging) (Name of person acknowledging)
P_
(Signature o otary Public-State of Florida) (Signaturef Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known V/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.FFA 1 2 Q3 Commission No.F Fq 12 v (gQER P HESTER
L"
I GINGER P HES R •" MY COMMISSION FF91293
=: �. August 25.2019
Revised 07/15/2014 ••'•�• EXPIRES 1407)3960.63 i
August 25;,20!'9
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS