HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08104/2016 Permit Number: (0 07
6Uildiing Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,fort Pierce FL 34982.
Phone: (772L)462-1553 'Fax;(772).4.62-1578 Cornmercial Residential X
PERMIT APPLICATION FOR; To Select from dropbox, click=arrow at theend of line
PROPOSED IMPROVEMENT LOCATION:
Address;.3702:LN LHwy AIA Unit#602
Legal Description: GRAND!;ISLE OF NORTH HURCHINSON ISLAND CONDOMINIUM.(OR 2231-1190)Unit 602(OR 38141434
Property Tax ID t P6rcel ID: 1423=807-0019-000-5 Lot No 602
Site Plan Name: Block No.
Project Name
Setbacks Front Back: Right Side: Left Sider
DETAILED DESCRIPTION OF WORK:
e4'/CL c e a .5v G&I or% W,o�-t.� l w-U A I,v 141 01 &U-V.J S0
CONSTRUCTION INFORMATION:
Additional workLto..bObnarformeunder t Is permlt=Check a appy:
HVAC Gas Tank Gas:.Piping _Shutters Q Windows/Doors`
Electric �✓ Plumbing �SprinklersGenerator .Roof
Total Sq.Ft of Construction: S .`i Ft.of First Floor:
870.00 Utlities: Sewer. Se tic Buildin Hei ht:
Cost:.of Construction:$ E . P g g
OWNER/LESSEE: CONTRACTOR:
Name Leonard Pearce Name: Craig Mobley
Address:3702 N AlAL Unit#602 L Company: Southern Plumbing, Inc
City
Ft.;Pearce ` State:Fl Address:406943RD Avenue
Vero Beach
Zip Code: 34949 Fax: City: State:
Phone:No::860-836-5646 Zip Code:. 32960: Fax. 772-978-9843
E-Mail:NIA Phone No 772-564-6980
Fill in fee simple Title Holder on next page(if different E-Mail: kmay.southemplumbing@gmail.com
from the Owner listed above) State or County License RF6667100
If.value of'construc#ion is$2500 or more,`a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ` Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip. Phone: Zi'p: Phone:
FEESIMPLE 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 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:anyrestrictions which may apply.
Inconsideration ofthe granting ofthis requested p.e,rrrlt Ido 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,wallsj;signs,screen rooms and.accessory uses:to another non-residential use_
WARNING TO OWNER,Your failure to Record a Notice of Commencement:may r..esult in'your paying tvuice for
improvement to your property.ANotice of Commencement must be recor_ded'and'posted on the jobsite
before the ' : inspection. If you intend to obtain financing,co with lender or an atto..rney before
cc n0iwork or ecordin our Notice of Commencem
S
_5 nit of ner/Le ee/Agent Si` ure'of tractor/Lit nse Holder
STATE ORI'Dp STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me. The forgoing instrum t was acknowledged before me
thit/ day of S 20 f&by this day,of U (A _4Z 20 by
(N.am.e of person nowledging).
Name of i erson. .nowledging)
JUvi
(sig ture of Not*,Public=State of orida) _g
nature o otary'Public-State of Florid
Personally.:Known OR Produced identification Personally Known_X-LOR Produced Identification
Type of Identification Produced
Typed Identification Produced yp
Y ANN
'OAK
�' y RY ANN CIA
��g ` NOTARY commission No. eM�`
Commission No - NOTARY PUBLIC
STATE OF,.FL
STATE OF FLORIDA
Expires 3/13/2017 Expires 3/13/2017
Revised 07/15/2014
REVIEWS FRONT ZONING" SUPERVISOR PLANSVEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ,:
COMPLETE
INITIALS