HomeMy WebLinkAboutBuilding Permit ApplicationDESIGNER/ENGINEER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
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Phone:
MORTGAGE COMPANY: _ Not Applicable
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BONDING COMPANY: Not Applicable
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I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
s
Signature o ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Std C, COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged//before me
this L day of illi 20 k,—by this, — day of 20 by
GJCc I 1 '` S CC��tn.,e�? c _,M.
(Name of person acknowledging) (Name of person acknowledging )
jc"t_� Q 9-L."_ LCA
ature of Notar Public- State of Florida )
Personally Known
Type of Identificai
Commission No.
Revised 07/15/2014
ed NANCY J. SHEA
Notary Public - Strte of Florida
My Comm. E*gf)Oct 19, 2017
Commission # FF 055394
Bonded Through National Notary Assn.
-(.S' nature of -NoNpry Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Notary Public - State of Florida
My Gemill. Expires jun 1. 18
Commission # FF 111485
Bonded Through National Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/10/2016 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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 6013 Cassia Dr
Legal Description. Indian River Estates -UNIT 09- BLK 85 LOTS 29 AND 30
Property Tax ID #: 340261004530006
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:'
135 FEET OF 6 FOOT BOARD ON BOARD WOOD FENCE WITH NO GATES
Lot No. 29 AND 30
Block No. 85
Additional work to be ertormed under this permit — check a appy:
HVAC �_ Gas Tank []Gas Piping _ Shutters Windows/Doors
Electric ❑Plumbing ]Sprinklers
11 Generator ❑Roof
Total Sq. Ft of Construction: 135 S. Ft. of First Floor:
Cost of Construction: $ 1800.00 Utilities:] Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROCA HOUSING SOLUTIONS LLC
Name: MICHAEL MUSCANERA
Address: 419 W 49TH ST 217
Company: Three M's Fencing
City: HIALEAH State:FL
Zip Code: 33012 Fax:
Phone No.
Address: 548 SE Ocean Spray Ter
City: Port St Lucie State: Fl
Zip Code: 34983 Fax: 8554953082
Phone No. 772-237-2166
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: dreamhomesbymm@aol.com
State or County License: CRC 1327945 SLC 23260
11 value or construction is >/-Suu or more, a KECUKDED Notice of Commencement is required.