HomeMy WebLinkAboutBuilding Permit Application l 9065333
ALL APPLICABLE INFO MUST /BE COMPLETED FOR APPLICATION TO BE ACCEPTED //
Date: '�� ��- Permit Number: I( V-_-- //(��
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RECEIVED
Building Permit Application
Planning and Development Services MAR 2 2 2016
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: Window/door
PROPOSED IMPROVEMENT LOCATION,
Address: 309 Olive Ave. Port Saint Lucie, FL 34952
Legal.Description: RIVER PARK-UNIT 2-BLK 12 LOT 16(MAP 34/22N) (OR 707-214:3648-248:3668-1183)
Property Tax ID#: 3419-510-0088-000-1 Lot No.16
Site Plan Name: Block No. 12
Project Name: Miller,#9065333
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
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CONSTRUCTIQN 1N�FORMATION 9
Additionalwork to be nertormed under this permit—check a InShutters appy:
HVAC GasTank Gas Piping QWindows/Doors
ElElectric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 19,498.00 Utilities:Sewer E]Septic Building Height:
OWNER
/LESSEE CONI-RACTOR
Name Brad Miller ___Name: Boysie Ramdial
^^ Address:309 Olive Ave. Company: The Home Depot At Home Services
City: Port Saint Lucie State:FL Address: 674 S Military Trail
Zip Code: 34952 Fax: City: Deerfield Beach State:FL
Phone No.(772)353-2129 Zip Code: 33442 Fax:
E-Mail: Phone No. (954)379- 1500
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CRC046858
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN,LAW INFORMATION
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 thepermit 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_w.ith-the_approved-plans,_the_Florid a_Building-Codes_and-St._Lucie_County-Amend ments.__—_____-____--
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 no 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.
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Signature of Owner/Agent/Lessee Signature c#Contractor/License Holder
STATE OF FLORID3/��_ STATE OF FLOf�ID/I►_
COUNTY OF L�cl� COUNTY OF 1�'+�-
The forgoing instrument was a knowledged before The for oing instrument was acknowledged before me
M
me this to day of CiCYiM� ,,
20 16 by this I day of � 20 16 by
Boysie•Ramdial A Boysie Ramdial
(Name of personpc owledgin ) (Name of pe so acknowl gi )
(Signature o ary Public- to fa-of Florida) (Signat cf Notary Pu ic-State of Florida)
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
--- - - ^- ( 19�d I `-------- Commission N �� t��� Y (Seal) BER FLEI�ICER
Commission No. [�. ) AMBER FILENKE
NOTARY PUBLIG NOTARY PU@L{C
STATE OF FLOR DA
Revised 07/15/2014 Con►m#EE215692 Comm#EE215692
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