HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-2-2016 Permit Number:
L Ill; R E C E I'.' D MAY 03 2016
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: Others q LEl
PROPOSED IMPROVEM:ENTLOCATI.ON:
Address: 1124 Coral St. Fort Pierce, FL 34982
Legal Description: WHITE CITY S/D 09 36 40 E 97.23 FT OF W 122.23 FT OF N 115 FT OFLOT 223(0.26 AC)(MAP 34/095 )OR 3801-151)
Parcel ID: 3403-502-0255-000-9
Property Tax ID#: Lot No.223
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF.WORK 4
Changin A/C system with like system
r
CONSTRUCTION INFORMATION
Additional work to be nertormed under t ispermit—c ec k all appy:
HVAC Gas Tank Gas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing OSprinklers E]Generator 1:1 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2400.00 Lltilities:n Sewer Septic Building Height:
OWN ER/LESSE,E ,CONTRACTOR:: . .
NameVarn Groves Inc. Name: Geoff Paddock
Address:1808 Hazelwood Dr Company: Treasure Coast Ice& Exhaust
City: Fort Pierce State:FL Address: 461 SW Sundance Trl
Zip Code: 34982 Fax: City: Port Saint Lucie State:FL
Phone No.772-878-4031 Zip Code: 34953 Fax:
E-Mail: Phone No. 772-285-6661
Fill in fee simple Title Holder on next page(if different E-Mail: paddockg@gmail.com
from the Owner listed above) State or County License: CAC1817232
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SU,P IEMEN, L 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 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� s
_Signature o Ow r/Lessee/Agent Signature of Contractor/License Hol er
STATE OF FLORID STATE OF FLORIDA r
COUNTY OF Nk COUNTY OF
The for oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of \ 20 Ko this day of 20 BA by
I^n
I
(Na6off on acknowledging) (Name of person acknowledging)
0 1 WAI Jdfu Vy'
(SigNotary Public-State of Florida) (Signature of Notary Public-Skate of Florida)
Personally Known OR Pro ced den ' ication PersonallyKnown OR Pr ced dentifi tion
Type of Identification Produced V / Type of Identification Produced '
v vt l
A
uufl5k G 2 S U an
Commission No. 1 r (Seal) Commission No. r I��J V (Seal)
AMANDA CI-1 MAU
o c AMANDA 011
Notary Public,State of Florida Nota public,
Revised 07/15/2014 " trommission#FF 199358 Notary State 9 Floc
M comm.expires Feb.12,2019 ommis omm slues FF 1993,•.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS