HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO /MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: DERECEL
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Building Permit Application PLAY .9 0 2090
Planning and Development Services
Building nd Code Regulation Division
2300Vlio Avenue,Fort Pierce FL 34982
Phone:{ 72j 462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
777
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Address f �t-I ��i AQ��,c�ils��c�c�cl �� Fi�c� Y lis' 1=L__3 L-1g5 i
Legal Desription: - 1 1 U - t-O (OR
Property Tax ID#: I X21 02 -O�Q 5�' - BOO-5 Lot No.
Site Plan(Name: Block No.
Project Name: W i(1 6()vJ 0,J QO �_ 0 lacpw\p✓x'1-
Setbacks Front LA Back Right Side Aft Side:
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77777771
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Remove Existing windows and Doors, Supply and install ne�lmpact Windows and Doors for th
same Openings. / ore/? I o-� .S ovv )e--f
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ON IiFORMATISN
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,. .itio,a worktoy e e orrne- un er t is permit-check ai appy: _
oHUAC 11 Gas Tank []Gas Piping _Shutters ✓4 windows/Doors
11 EII ctric F�Plumbing Sprinklers ElGenerator 0 Roof
Total Sq�Ft of Construction: Same I' So.Ft.of First Floor. Same
Cost of Construction:$ Z Q . 5�-1 Utilities:Sewer Septic Building Height.
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=OWNERJLESSEE CONTRACTOR# 4.
Name
MA, FUr'GCti Name: Giovanni R Goulart
Addres�:_c(,-(*75, MCGdO W Ood ur, Company: Apex Builder Contractor, Co
City: Foci QiQc-ce State:FL Address: 1597 SW Neptune Ave
Port Saint Lucie FL
Zip Code: ?�t4��l Fax: f' City: State:
Phone o.-712- -C1�I - ����� Zip Code: 34953 Fax: 561-892-0139
E-Mail A) ko"cOL6� a01•c0rw Phone No. 561-892-1515
Fill in fie simple Title Holder on next page(if different E-Mail: contact@apexbuildercontractor.com
from the Owner listed above) State or County License: cbc1255431
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEM N7 CQN5TRUC71Q1V1117777
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DESIGNER/ENGINEER: . Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: I Address:
City: I State City: State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: V Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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
structurePlease 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 accords i ce 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 ain financing,consult with lender or an attorney before
Commencin work or recordi t�1 it e o mencem
_Signatu ie of Owner/Lesse /A t Factor/License Holder
STATE O,F FLORIDA STATE OF FLORIDA ,y / "7
COUNTY OF COUNTY OF f / ci C
The for I In instr.1i ent was acknowled d before me The for oing instrument was acknowledged before me
thisco dayof U ri-,s 20���bar this day of r-1 a'" 20 by
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��i��Tif� DJi s li m.,� l - u is i i ` C i t
sme ofjperson acknowledging) (Name of person acknowledging)
{Si atu'a of Nota Pt�hiic-State of FI a� (Signature of Notary Public State of Florida) s
g �' i eve,^'ti�•. (/f
Personally Known OR Produced Identification _ Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced Qpld .Gl
a3 3G�
Public
Commission No. Commission No� o. ,_" (Seal)
t '�y" — JHAS IN BISSEMBER ` OfdB
=.R t MY COMMISSION#FF 236399 $
p; UPIFIER une2019 i� No,
'%5'qd��;°••' Bonded Thru Notary public Underwriters
Revisgd 07/15/
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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INITIALS
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