HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (v'
05/09/16
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: Building
PROPOSED IMPROVEMENT LOCATION;.
Address: 360 Borraclough st
Legal Description: Replat of Palm Gardens BLK 2 Lot12 (0.18ac)(or 3760-1973)
Property Tax ID#: 3403-802-0024-000-2 Lot No.12
Site Plan Name: Borraclough Block No. 2
Project Name: 360 Borraclough
Setbacks Front25 Back: 25 Right Side: 13 Left Side: 7
DETAILED DESCRIPTION,OF WORK.
Replacing 40 If x 8 ft high of existing rotted exterior siding and sheathing, Repair/replace 40 If of
rotted fascia, paint new sheathing to match existing color. Rei stallation of 1 exterior door existing
*LCand 1- new window 3 > (3,�
CONSTROCTION ORMATION: `
Additional workto e e Orme un er t is permit—check a appy:
EIHVAC E]Gas Tank Gas Piping _Shutters ✓❑Windows/Doors
Electric ElPlumbingSprinklers Generator 1:1Roof
Total Sq. Ft of Construction: 1751 S . Ft.of First Floor: 1751
Cost of Construction:$ 1200 Utilities:CnSewer RISeptic Building Height: 14
-OWNER/LESSEE: CONTRACTOR:
Name Savanna Concierge, LLC Name: Jesus Medina
Address:117 orange ave Company: Big Dog Repair, LLC
City: Fort Pierce State:FL Address: 117 Orange Ave
Zip Code: 34950 Fax: City: Fort Pierce State:FL
Phone No.772-801-5729 Zip Code: 34950 Fax:
E-Mail:Jesus@pierceharbor.com Phone No. 772-801-5729/772-626-2748
Fill in fee simple Title Holder on next page(if different E-Mail: Jesus@pierceharbor.com/bigdogsery@gmail.com
from the Owner listed above) State or County License: State Lic#cbc 1253459
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 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 w rk or rigg6frding your Notice of Commencement.
_Signa ure of Owner/Lessee/Agent Si ature of ontractr/LI ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST [vcl E COUNTY OF S_. ZVC(C
The fgrgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of MA%/ 20 1(aby this ay of MAY 20 J by
6V5 OvEle
(Name of person ackno I ging) (Na e o efson ackn wledging)
( de ft y P Iic-State of Florida) nature of Nota Public-State of Florida)
Personally Known�_OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.T 976 9S_3 Commission No. TP Y96:7-T3 (Seal)
FEDERICO MORIKAWA FEDERICO MORIKAWA
EXPIRES:MAR 29,2020
020
Revised 07/15/2014 arnd� Bonded through 1st state Insurance EXPIRES:MAR tat Insu
Bonded through 1st State Insurrtrce
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS