HomeMy WebLinkAbout1607-0017 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/27/2016 Permit Number. 16 ") ,Mn
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: Demolition 0
Address: 314 S. Erie Drive,Fort Pie=,FL 34946 (p i
Legal Description: 33 34 40 SE 1/4 OF NM 114-LESS N 100 FT LYG E OF E RM CHEROKEE AV EXTENDED SOUTHWARD AND LESS E 100
FT AND FROM CENTER OF SEC AT PT ON E SIDE OF CANNAL RUN S 88 DEG 33 MIN 54 SEC W ALG E-W 1/4 SEC...
Property Tax ID#: 1433-210-0003-000-9 Lot No.
Site Plan Name: Block No.
Project Name: TALL PINES MHC
Setbacks Front Back: Right Side: Left Side:
DEMOLITION OF MOBILE HOME
i lona work oe orme under is perms —check a appy:
HVAC ri Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
[]Electric F]Plumbing []Sprinklers Generator Q Roof
Total Sq. Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ RA00•° _ Utilities nSewer[]Septic Building Height:
NameK 6 D AFFILIATES INC Name: MIKE BICKERSTAFF
Address:314 S. ERIE DRIVE Company: AMERITECH HOMES INC
City. FT PIERCE State:FL Address: 265 S STATE RD 415
Zip Code: 34946 Fax: City: NEW SMYRNA BEACH State:FL
Phone No.772-461-1211 Zip Code: 32168 Fax: 386-427-8911
E-Mail: Phone No. 386-427-7899
Fill in fee simple Title Halder on next page(if different E-Mail: PERMITS@AMERITECHHOMES.COM
from the Owner listed above) State or County License: IH1025202
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SU.PPLEMEN.TA CQ ST UCTlON-LIEN,LAW]NFORMATIQ.
DESIGNER/ENGINEER: x�Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
MW
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 Counter 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.
S
_Signature of Owner/Lessee/Agent Sign ture of Contractor/License Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OFvoLusu►
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 _.,_by this 27 day of 1u"E .20 by
1 MICE=MRSTAFF
(Name of person acknowledging) (Name of person acknowledging)
�i�Q VQ A
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florid
Personally Known OR Produced Identification Personally Known_OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No.Fi=94gdalY'� g gA N. MILLWATER j
c.�•'k Notary Pubtic,State of Florida
res Jan.10,2020
Commission No. FF 949221
Revised 07/15/2014 }.:•......p¢;�P'
N.�,.••
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Planning&Development$ervices ASBESTOS NOTICE
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL. 34982
Asbestos Notice to Contractor
July O1. 2O10
ANER|TECHHOMES INC
MIKE HB|CKERGTAFF
205SSTATE ROAD 415
NEW 8KAYRNABEACH, FL 32168
RE: Building Permit Number 1807'0017
|tioyour responsibility tocomply whththeproviaionoof8eobon4OS.003. F|orido8tatubasomdbonctifytheDaportmont
of Environmental Protection of any intentions to remove asbestos when applicable in accordance\Afith state and federal
\avv
Signature
Date
7/1C20161:31:57PWY