Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/16/2015 Permit Number: RECEEI V ED ' - Building Permit Application DEC 16 2015PERMITTING Planning and Development Services St. Lucie County, FL 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: 2708 S 35 th ST. Legal Description: Property Tax ID#: Zd— Dd© Lot No. Site Plan Name: Block No. Project Name: Canard Residence Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK:' Install new Impact front entry door. CONSTRUCTION INFORMATION: Additional work toe Derformed under this permit—check all appy: HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors 11 Electric F] Plumbing O Sprinklers E]Generator F] Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 1200.00 Utilities: Sewer E]Septic Building Height: OWNERAESSEE:l h ( II--A)` (Z's CONTRACTOR': :S Named �f -C ec KName: Chris Marlow Address:2708 S 35 th St Company: Marlow's Property Repair City: Saint Lucie County State:Fl Address: 1781 SE Vesthaven Ct Zip Code: Fax: City: Port Saint Lucie State:Fl Phone No.772-643-2012 Zip Code: 34952 Fax: E-Mail: Phone No. 772 828 7750 Fill in fee simple Title Holder on next page(if different E-Mail: marlowspropertyrepair@gmail.com from the Owner listed above) State or County License: County#28910 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 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. vA- S _Signature of Owner/Lessee/Agent Signature of Contractor License Holder STATE OF FLORIQ�j �! ¢� STATE OF FLORIDI5'y COUNTY OF U COUNTY OF JJ ( � f The forg-ggi,ng instrument was acknowledged before me The forgoing instrument was acknowledged before me / this ^day of 7fCc�r,bcr 20 Eby this ay of ,�'kCe 20 LSby (Name of person acknowledging) (Name of persona nowledging) I / (Sig ature of ry Public-State of Florida) (Signature of Notary P ic-State of Florida) Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced 2j[,46 6 q0-/p rj_,%' 0-0 Commission No. Commission No. �;��•• � KIMBERLY AETEITE " KIMC(wBERLY ANN TEITELBAUMsaa : COmmissiOn it FE 106125 e r ,4�f Expires Tall' „ha«xmdires July 25,2Q18Revised 07/15/2014 Fm +w Troy Fa nInsurance 80D-385.7019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS