HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/26/2016 Permit Number: '7
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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 7�_7
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LbCATION _
Address: 4000 N A1A Unit 402
Legal Description::VISIONS UNIT 402 AND COVERED GARAGE UNIT 22 (OR 3887-1834)
Property Tax ID#: 1423-503-0006-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Renovation
Setbacks Front Back: Right Side: Left Side:
. F
DETAILED DESCRIPTION OF WORK
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ew
Remove and Replace Flooring, Install New Kitchen Cabinets, Install New Baseboard, Install New
Bathroom Vanities
CONSTRUCTION INFORMATfO.N
Additional work toe nertormed " un ert is permit—c ec a appy:
HVAC Gas Tank OGas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 1i Generator F] Roof
Total Sq. Ft of Construction: 2701 "- S Ft.of First Floor: 2701
Cost of Construction:$ 5400.00 Utilities:Sewer[]Septic Building Height:
O;VV°NER/LESSEE CONTRACTOR. a
Name Jason C Llewellyn Melissa A Llewellyn Name: Roderick Waller
Address:4000 N Al unit 402 Company: Sunrise City CHDO
City: 11357 Talon TRCE State:IN Address: 800 Virginia Ave
Zip Code: 46037 [� Fax: City: Fort Pierce State.FL
Phone No. /-4 l Zip Code: 34982 Fax: 772-907-0420
E-Mail: Phone No. 772-201-2850
Fill in fee simple Title Holder on next page(if different E-Mail: rodwaller1@gmail.com
from the Owner listed above) State or County License: CGC1515114
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN`LA1N INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 thepermit 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.
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_Signature of Owner/Les a/Agent Signature o Contractor/Licen a Holder
STATE OF FLORIDA` L�-�
STATE OF FLORIDA
COUNTY OFCOUNTY OF Cly.
The for oin instr nt wa ack owled d efore me The r oing instrument�(as acknowled ec�.pefore me
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( e of person acknowledging) (Name of person acknowledging)
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(Signature of Not y Public-State of Florida) (Sig a of Notary ublic-State of Florida)
erson tion Persona: KnR R Produced Identification
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Revised 07/15/2014 " -
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS