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: To Select from dropbox, click arrow at the en'd of line
PROPOSED IMPROVEMENT LOCATION:
Address: 10109 Spyglass Lane, Port Saint Lucie , FI 34986 /
Legal Description: POD -24 a-f '66q, Reser✓e -Kase f � r?SS /n7` I-ot /9
Cok
Property Tax ID#: 332'7- 70 7- 00A 3 - 000 - 0 Lot No.
Site Plan Name: N/A Block No.
Project Name: Johnson's door
Setbacks Front Back: Right Side: Left Side:
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,DETAILED DESCRIPTION OF WORK
Install 2 -8 x 8-0 exterior patio door with 1 LT impact ,out swing (Like kind,) .
CONSTRUCTION INFORMATION.
Additional work to be nertormed under this permit—check a appy: I'
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: N/A S . Ft.of First Floor: N/A I
Cost of Construction:$ 1,725.00 Utilities: Sewer Septic Building Height: N/A
OWNER/LESSEE: CONTRACTOR:I! !, 6
Name ROBIN JONHSON Name: Christopher Marlow
Address:10109 Spyglass Lane Company: Marlow's Property Repair LLC
City: Port Saint Lucie State:Fl Address: 1781 SE,Vesthaven Ct
Zip Code: 34986 Fax: City: Port Saint Lucie State:FI
Phone No.772 359-8373 Zip Code: 34952 I .1 Fax:
E-Mail:ftisionwest@comcast.net Phone No. 772 828-7750
Fill in fee simple Title Holder on next page(if different E-Mail: mariowspropertyrepair@gmail.com
from the Owner listed above) State or County License: psl-9703 st lucie county 28910
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:, + k;
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: I x .Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone: 'i
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City: f
Zip: Phone: Zip: Phone:
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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 respec11
ts,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 or recording your Notice of Commencement.
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_Signa re of Owner,/'-'Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORI A / STATE OF FL A,� l
COUNTY OF L I(- -Cica COUNTY O 'se-
The for oing instru ent was owledged�efore me The for oing ins ent was acknowledged-before me
this day of 20 �by this a day of 20 by
cl_�I
(N me of person acknowledging ( ame of person acknowledging)
ature of otary Pub' - ate of Florida) Signa r of ic-State o lorida)
Personally Known OR P1p te�Id 'ftc t'on Personally Known ORP d�T,Identification
Type of Identification Produced )'��\ 1 � ) �� Type of Identification Produced �Jt 1��
Commission No. ` L���a (Seal Mala�C6�@F Commission No. •AfteAcifFfaloWdada
Mate of Florida
9 MY COMMISSION#EE 8659 8 # QMY COMMISSION#E 865918
z°F Fv.° Expires:January 17,2017 of�I
Revised 07/15/2014 Expires:January 17,2017
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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