HomeMy WebLinkAboutBuilding Permit Application From: 1 386 427 8911 08/10/2016 12:23 #499 P.001/001
�,6 INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit iVumber:
RECL E
Building Permit Application AUG t 0 2016
lonning and Development Services f
Building and Code Regulation Division PEWAITTiNG
2300 Virginia Avenue,Fort Pierce FL 34981 St. Lucie County, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: DemolitionF71 -
mPROPOSED1f1/Ip,�RO.�..Vf�,ViEN ����CA�0,�,,
Legal Description: ��i �'� �l: S E, 1�4• (7�' N6� � f
3
Ch eroOU (a 6 rd AM .P cS` E l00 t::::T=flid F')YY?
iProperty Tax ID . I (Q 7 0Q0 30—CfLot No. i
Site Plan Name:
Block No. I
Project Name: !j
Setbacks Front Back: Right Side. Left Side: .
Room af\d �,In a1.7
N 88 b
� !
ttionPRYN
e e orme un er t is perm —c e a app : ! , 1 el
,
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors ,
Electric U Plumbing ❑Sprinklers Generator Roof '
i
otal Sq.Ft of Construction:
4 5 .Ft.of First Floor:
Dst of Construction:$ _�QQ Utilities: Sewer Septic Building Height:
I �'�LE�• .p r � . s
ameK S D AFFILIATES INC Name: MIKE BICKERSTAFF
idress:314 S. ERiE DRIVE Company:AMERITECH HOMES INC
i
ty: FT PiERCE State:FL Address: 265 S STATE RD 415
p Code: 34946 Fax: City: NEW SMYRNA BEACH State:FL
gone No,772-461-1211 Zip Code: 32168 Fax: 386-427-8911 j
Mail: Phone No.
386-427-7899
I in fee simple Title Holder on next page(if different E-Mail: PERMITS@AMERITECHHOMES.COM
im the Owner listed above) State or County License: IH1025202 {
t
alue of construction Is$2500 or more,a RECORDED Notice of Commencement is required,
From: 1 386 427 8911 08/03/2016 17:34 #496 P.003/003
-�1
S PPLEMNT>AL ONSJ�= v NLAW INt7f�M 101' "� �` �� '
,n mr a a�wxA a eea ^y ;
'»FeP4keIPr . °W'�tiarC. +''•',�i'�.uk � `� c1'� skFOw€K'k��Smsaa..«t .fd�-ski b"
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.L cie County makes no representation that is granting a ppermit VII authorize the permit holder to build the subject structure
whic�is in conflict with any applicable Home Owners Association rules,bylaws dr 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 thg_l will,in all respects,perform the work
in accordance',Mth the approved plans,the Florida Building Codes and St.Lude'County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review-roorn 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.
01s
—Signature of Owner/Lessee/Aetj Lessee/AntSignature of Contractor Ucen
STATE OF FLORIQA STATE OF FLORI
iCk
COUNTY OF VMI ami CA_ COUNTY OF t l�S
The fo aing Instru ent was acknowledged before me The for ng instrument was acknowledged before me
this T day of Si' 20-fir this I day of 20 �,by
Mlmx.)illi�Ics A �Vt:1. - r-to3ia
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary"Public-State of Florida) _
Personally Known X OR Produced identification Personally Known OR Produced Identification
Type of Identification Produced Type of identification produced
Commission No, wI �1INA-N.MiLLWATER .Commission No. 9�9ao?1 (Seal)
fr'' Notary Public,State of Florid • • .-• o�!r. BRIANNA N.M16ATER
)td' ..r
*! `-+� 10 202 , Nota Public,State of F[otida
Commission No,FF 949221 +', My Comm.Expires
Revised 07/15/2014 sa^ ° ' ......._;:►°.►°F Commisslon No.FF 949221
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION. SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS