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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �ql Date: b' �' (lit Permit Number: 0 • © I • LAM �� RECEIVED Building Permit Application AUG 0 8 2016 Planning and Development Services PER:dIITTING Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Window/door PRWSE'D 1, 'P,,9 L°OCATI N z Address: 8111 S Indian River Dr. Fort Pierce, FL 34982 Legal Description: 18 3641 THAT PART OF N 110 FT OF S 802.89 FT OF GOVT LOT 3 LYGW OF A LI 300 FT W OF AND//TO W R/W LI OF S IND RIV DR AND E OF FEC RR AND ALSO N 109.11 FT OF S 692.89 FT OF LOT 3 LYG E OF FEC RR-LESS IND RIV DR-(3.68 AC)(OR 3558-2457) Property Tax ID#: 3518-311-0003-000-5 Lot No. Site Plan Name: Block No. Project Name: Liddell,#8288077/8196612 " Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTIONS RWORK Pull a new permit to replace expired permit 1506-0013. C.a..,�`�. a � Additional work to be nerrormed under tispermit—check all appy: ❑HVAC Gas Tank _ Windows/Doors — [:]Gas Piping g Shutters ❑ ❑Electric 0 Plumbing ❑Sprinklers Generator Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$L�, Ji 4 ©� Utilities:In Sewer 0 Septic Building Height: OVk�f�ER/LESSE s � CONTRACTOR E . . _.., .. >.�, ..,.. �.�.�. .a �?.. .... Name Kimberlt Liddell Name: Boysie Ramdial Address:811 s Indian River Dr. Company: The Home Depot At Home Services City: Fort Pierce State:FL Address: 674 S Military Trail Zip Code: 34982 Fax: City: Deerfield Beach State:FL Phone No.(239)292-3028 Zip Code: 33442 Fax: E-Mail: Phone No. (954)379- 1500 Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: CRC046858 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i a SUP'PLEME'NTAL CONSTRlJCT10N_LIEN CA11t/ INFOR'MAT1(3(� 4 ,,. . DESIGNER/ENGINEER: I Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: I Address: City: I State: City: State: Zip: Phone: I Zip: Phone: I -FEE SIMPLE TITLE HOLDER: i Not Applicable BONDING COMPANY: Not Applicable Name: i Name: Address: Address: ' City: I City: Zip: Phone: I Zip: Phone: ! I I certify that no,work or installation has commenced prior to the issuance of a permit. $t. 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 I before the first inspection. If you intend to obtain financing, consult with lender or an attorney before i commencing work or recordin' your Notice of Commencement. Signature of Ow er/Agent/Lessee I SignatLYre of Contractor/License Holder I STATE OF FLORID I STATE OF FLOR)DAL COUNTY OF ! L I COUNTY OF ((��ooir i I i The forgoin instrume t was acknowledged before The for oing instru ent was acknowledged before me me this day of 1 20 16 by this _ day of 20 16 by f Boysie Ramdial 1 j Boysie Ramdial (Name of pars acknowledging)/ I (Name of p so acknowled 'ng ( g tur of Nota r# u lic-State oflFlorida) (Signature of Notary Public-State of Florida) I � Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced I Type of Identification Produced Amber Flank rr`l70°(3'/ (Seal) O Commission No 7013 F� 043� NOTARY Ilmmrriission No. STATE F r DA Amber F14d NOTARY PUB 'rVE te'6 Expires 7/11/2020 STATE OF FL IDA Revised 07/15/2014 Conm�#FF9709 IN WC , 711 20 REVIEWS FRONT ZONING SUPERVISOR. PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE I COMPLETE INITIALS JJ I 1 ( � i I