HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date:
06/I /2016 Permit Number: I
. r
Building Permit Application JUN 13 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982 Residential X
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial __
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 893 Woodlands Drive, Port St Lucie, FL. 34952-8254
Legal Description: The Woodlands S/D Lot 14 (0.95 ac) (or 828-2981)
Property Tax ID#:
3415-701-0014-000/6 Lot No.14
Block No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
7 46
CONSTRUCTION INFORMATION:
itionawor to n'GasTank
orme un er t is permit—c ec a app y:
HVAC F]Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing U Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Construction: 585.00 Utilities:cnSewer Septic Building Height:
Cost of Constr $
OWNERAESSEE: CONTRACTOR:
Name
Peter McGuire Name: City of Port St Lucie
Address:
893 Woodlands Dr Company: Utilities Dept.
Port St Lucie State: FL Address: 900 Se Ogden Ln
City:
34952 City: Port St Lucie State:FL
Zip Code: Fax:
Phone No.772-370-6641 Zip Code: 34983 Fax:
E-Mail:
Phone No. 772-873-6400
Fill in fee simple Title Holder on next page (if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL'CONSTRUCTION LIEN 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.
_Signator of Owner/Lessee/Agent Signature o Contractor/
License Holder `C"oo1 tivmVi
STATE OF FLORIDA STATE OF FLORID
COUNTY OF Saint Lucie COUNTY OF - �; IF
The far oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of -JJ(,�,V1.1 20 J jpby this�day of a 20 L, by
Jesus A.Merejo 1 �
(Name of person acknowledging} (Name of person ac nowledging}
` {IBJ" (.
(Signplre of Notary Public-St to of Florida} (Signature of Notary Public-State of Florida }
Personally Known v-/ i OR Produced Identification Personally Known OR Produced identification
Type of Identification Produced Type of Identification Produced
Commission No. Seal)) Commission No.khl I 5� (Seal)
JEANETTE THOMPSON
NOTARY PUBLIC
STATE OF FLORIDA
Revised 07/15/2014
Gomm#EH843285
Expires 10/14/2016 !U n e 2 8
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS