HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date: 4/08/2016 Permit Number:
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Building Perm itAppIication � R 2Q16
Planning and Development Services f
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: Addition
PROPOSEQ`IMPROVEMENT OCATIO - .t, �"" �..,' �'
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Address: 12901 NW Harbour Ridge Blvd., Palm City, FL 34990
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Legal Description: Q//�nU✓ I� ;C/9,0 IQ/A>` c, t-t/o U.11oe y,.,;
Property Tax iD#: 4426-815-0009-000-5 Lot No.
Site Plan Nam e* Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETA{LED DESCRIPTION${aF WORKn,y; N
Replacing 18x7 garage door. Like for like.
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CO NSW INFORMATION
Additional work to be nerformea under this permit—check k a appy:
❑HVAC Gas Tank as Piping _Shutters F]Windows/Doors
Electric El Plumbing [?Sprinklers El Generator E]Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1940.00 Utilities, Ft
OSeptic Building Height:
01NNER/LESSE,�E
4 CONTRACTOR
Name t1ODQrT Fanelli JoniLopez
Address: 12901 NW Harbour I ge V Name:Company: st of arage OOfS, LLC
City: Pam City State:_ Address: 1817 SW 1 I InAve
Zip Code: 4990 Fax: City: Port t. Lucie, State:
Phone No. 5 Zip Code: Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: g oo rladyCaP yahoo.com
1 28543
from the Owner listed above) State or County License:
If value of co struction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUp:PLEMENTAL CQNSTRUCTION L[EU.;LAW INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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. /J
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_Signa re of Owner/Lessee/Agent Signatur of Contractor/License Holder
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STATE OF FLORIDA
STATE OF FLORIDA
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COUNTY OF a �< COUNTY OF
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The fo oing instr ent wa acknowledged be mic m The for oing instr ent was acknowledged befo �e
this dayof 20��0 m s= y y m�
,Z� this da of 20 b a xc,.a
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(Name of person acknowledging) (Name of person ac nowledging)
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(Signature ofo ary Public-State of Florida (Signature of No ry Public-State of FI ida )
Personally Known Produced Idejtii^ficatio / Personally Known OPr ced Id tificati n /
Type of Identification Produc d f/Y' • ' Type of Identification Produce - ��—
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS