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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c� Date: 4�11 `y6 Permit Number: - BEGET.' 70 APR 112016 - Igo -- -- - _- 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: MeekaRiGga PROPOSED IMPROVEMENT LOCATION: Address: 2917 Sherwood Lane Fort Pierce, FL 34982 Legal Description: Sherwood Acres Unit 1 Lot 25 (0.25 AC) (OR 3569-2545) Property Tax ID#: 2421-701-0025-000-2 Lot No.25 Site Plan Name: Block No. Project Name: Jay Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF-WORK: - Install a solar attic exhaust fan CONSTRUCTION INFORMATION Additional work to be performed under this permit_—check_all ttLat appy: HVAC Gas Tank -❑Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers 1:1 Generator r_1 Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 800.00 Utilities:n Sewer Septic Building Height: OWNER/LESSEE: . . CONTRACTOR: . . ;. Name Thomas& Doris Jay Name: James E. Ogle Address:2917 Sherwood Lane Company: Simply Solar Services, Inc. City: Fort Pierce State:FL Address: 866 Duncan Ave. Zip Code: 34982 Fax: City: Kissimmee State:FL Phone No. Zip Code: 34744 Fax: 407-847-5013 E-Mail: Phone No. 407-846-7830 Fill in fee simple Title Holder on next page(if different E-Mail: info@simplysolarservices.com from the Owner listed above) State or County License: CWC035772 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE BOLDER: x Not Applicable BONDING COMPANY: x 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 Commencement. s _Sigof wner/Lessee/Agent Signaturlbf Contractor/Lice a Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF -PCL COUNTY OF ,CSC-rG1`Q-- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this')day of & 20 *by this a7 day of 04 20 /_(,_by (Name of person acknowledging) (Name of person acknowledging) i (Signature f Notary Public-State of FI rida} (Signature o Notary Public-State of lorida) Personally Known OR Produced Identification_ Personally Known_ OR Produced Identification Type of Identification Produced y [(�.L- cY p / Type of Identification Produced o�PAV Itl9A��i ©vl UAIYZ<J' ..... Commission No. Sia Commission No. e`E�- - Y COM ISS ON#FF175797 MY COMMISSIONFF175797 , •9�eOFFICQ F EXPIRES December 5.2018 '-9r��:Po,' (407)398-0153 Florida NotaryService.com (407)'398-0153 FloridallotaryService.com Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS