HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 X
PERMIT APPLICATION FOR: Demolition El
PROPOSED IIVhPROVEMENT LOCATION. ..
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Address: 7501 Deer Park Ave
Legal Description: Lakewood Park Unit 5 Block 40 Lot 20
Property Tax ID#: 1301-605-0020-000-0 Lot No.20
Site Plan Name: Block No.
Project Name: Demo of Shed
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION Q;°I= ORK
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3:
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Demo shed in rear yard of house
CONSTRUCTI ON-IN FORMATION
Additional work to be nertormed under this permit—c ec a appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers I Generator 1:1 Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1500 Utilities:Sewer O Septic Building Height:
OWNER/LESSEE CONTRACTORS
- .
Name MB Props LLC Name: Andrew Donaldson
Address:7741 N Military Trl Company: AC Coastal
City: West Palm Beach State: FL Address: 3904 Corporex Park Dr#125
Zip Code: 33410 Fax: City: Tampa State:FL
Phone No. Zip Code: 33619 Fax:
E-Mail: Phone No. 813-321-4791
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CBC1259688
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTALCQNSTRUCTIQN LIEN !_AW INFQ;ItMATIQN
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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:
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, c nsult with lender or an attorney before
commen4g work or recording our Notice of Commencerno it.
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_Signatur of Owner/Lessee/Agent Signatu a ontractor/License Holder
STATE OF FLORI STATE OF FLORID
COUNTY OF �\LC,.S��0.��1 COUNTY OF��\�,t.� +( y�1 Ir}
The forgoing instru s acknowledged before me The forgoing instrum s acknowledge before me
this day of 20y this a day of 20 by
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Mmeernsonno;w;1edgi:ng) (Name eranong)
(Signature of Nkdry Public-State of Florida) ure a of Florida )
Personally Known '�)( OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
:=o�' `°�:`: DENNI��LAND GODSEY ""' DENt���I�LAND GODSEY
Commission No. _+: Commission No. °��••• °o�
"s" MY COMMISSION#FF047417
MY COMMISSION#FF047417
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(407)398-0153 Florid allotaryService.com EXPIRES Atigust 25,2017
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