HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t. 2 ��
Date" o-''llo • Ito Permit Number: !
Building Permit Application FEB 16 2016PERMITTING
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
PERMIT APPLICATION FOR: Building El
PROPOSED IMPROVEMENT LOCATION:
Address: 607 Paurotis Ln. Fort Pierce, FL 34982
Legal Description:
Property Tax ID#: 2427-500-0241-001 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Skylight install.
CONSTRUCTION INFORMATION:
Additional work to be ertormed under t ispermit—check all that appy:
HVAC Gas Tank F_]Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor: /7�d�
Cost of Construction:$ �, ®O Lltilities:n Sewer R Septic Building HeightzKk0=
OWNER/LESSEE: CONTRACTOR:
NameConstantine Carafides Name: James Reynolds
Acicl ss:607 Paurotis Ln. Company: Corad, Inc.
City: Fort Pierce State:_ Address: P.O. Box 5900
Zip Code: 34982 Fax: City: Lake Worth State:FL
Phone No.610-909-0723 Zip Code: 33466 Fax: 561-439-2196
E-Mail: Phone No. 561-439-2184
Fill in fee simple Title Holder on next page(if different E-Mail: sunny@theskylightcontractor.com
from the Owner listed above) State or County License: CGC 054348
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
ATION�
SUPPLEMENTAL CONSTRUCTION"L'I'E-N LA VU fiNF(3RM
DESIGNER/ENGINEER: ,Not Applicable MORTGAGE COMPANY: i 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,l do hereby agree that 1 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 Comm ent.
41' 6s
_Signature of Owner/Lessee/Agent Signa re of Contract r/License Holder
STATE OF FLORIDA STATE OF FLORIDA;�Cx �
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instr ent was acknowledged before me
this day of 20 by this�day of Q..QS 20 t(o by
J
Ara---
(Name of person acknowledging) (Name of person acknowleedgin
(Signature of Notary Public-State of Florida) (Signature f otary Public-State of orida)
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification Produced
DIMARIE Y ACOSTA-MAYS4
Commission No. (Seal) Commission No. i` ( e2i�MAAlssloN#FF798 8
F.
EXPIRE S February 11,24
.. �.`
Fcom
.......... c
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
6 al
I
SUP -LEMENTAAL CONSTRUCTION LIEN LAW INFORMATION; T
DESIGNERANGINEER: `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,consult with lender or an attorney before
commencing work or recording our Notice of CommeallIlIlIllililgent.
s
_Signature of Owner/Lessee/Agent Signa re of Contract r/License Holder
STATE OF FLORIDA STATE OF FLORIDA;)
COUNTY OF Ir COUNTY OF '�'
The forgoing instrument was acknowledged before me The forgoing instarruu�jent was acknowledged before me
this -day of . 20�by this 1. day of M'P y�lAC3�.h.b 20 ((o by
Are--
(N-ame
of person ac nowled ' ) (Name of person acknowledging
(Signature of Notary Public-State of Florida) (Signature f otary Public-State of Iflorlda)
Personally Known OR Produced Identification Personally Known V/ OR Produced Identification
Type of Identification Produced E entification Produced
` ue`�f"' Commission#! FF 15637 :`'• DiMA]EYACQSTA-MAYSO
Commission No. °� I} My Commission x�R11i ion No. aIOMNitSStdN#FF i$8 8
��,f<oF,4�;.� June 12, 2018 �!y 11.20
•";ro, EXPIRES February.
14VY 39"l o n
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS 7