HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: is COO `D`114
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Demolition
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Address: 760 Silverstream, Ft.Pierce FL 34976
Legal Description:
Property Tax ID#: 1433-130-0004-000-1 Lot No
Site Plan Name: Block No.
Project Name:
Setbacks Front 'Back: Right Side: Left.Side:
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Remove/demolish mobile home
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itiona�work to be nertormed under ts permit--check all app y:
HVAC Gas Tank ®Gas Piping i Shutters F�Windows/Doors
Electric ® Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 576 S . Ft. of First Floor:
Cost of Construction: $ 1,600.00Utilities: Sewer Septic Building Height:
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Name Ridgecrest MHP Name: Christopher Mears
Address:2251 N. US Hwy 1 Company: Florida Manufactured Housing Services
City: Ft. Pierce State:FL Address: 2121 NW 29th Ct
Zip Code: 34946 Fax: City: Ft.Lauderdale State:FL
Phone No.248.988.8845 x202 Zip Code: 83311 Fax:
E-Mail:rscott@rivstone.com Phone NO. 248.988.8845 x202
Fill in fee simple Title Holder on next page(if different E-Mail: rscott@rivstone.com
from the Owner listed above) State or County License: IH/1074836
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:
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I certify that no work or installation has commenced'prior to the issuance of a permit. 1
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 structure swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING T O ER:Your failure to.Record a. Notice of Commencement may result in your paying twice for
improvern is to our property.A Notice.of Commencement must be recorded and posted on the jobsite
before t first in pection If you intend to obtain financing, consUli with lender or an attorney before
Comm ficin wor or recording our Notice of Commencement. .
AM 5
Signature of 0;erV
/ essee/Agent Signature of Contra for/License Holder
STATE OF' \C,ttl,rrhW STATE OF- MkCttlG-A-N
COUNTY O 0 R cL_h '0 COUNTY OF' &Ak1.As"�L)
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of OMy�_ 20 Eby this day of �U�c��10SUr 20 to by
C VAIR\S hnC X25
(Name of person acknowledging) (Name of person acknowledging)
(Signature e�otary Public-State of Florida) (Signature.of Notary Public-State of Florida )
Personally Known OR Produced Identification Personally.Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. _(Seal
AMY FARVER
Puhli R
County of Oakland —
Revised 07/1.5/2014 My Commission Expires
Acting In the County of QQLWahcJ
iy
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE -MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE -^
COMPLETE I