HomeMy WebLinkAboutBuilding Permit Application Alit APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date., 8-22-2016 Permit Number:
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: Click
PROPOSED IMPROVEMENT LOCATION: 1 ta
'-,Address: 148 Pepper Lane,Jensen Beach, FL 34957
Legal Description:
Property Tax ID#: 4511-503-0032-000/8 Lot No.26
Site Plan Name: Bay Tree Block No.
Project.Name: Master Bath
Setbacks Front Backs Right Side: Left Side:
RETAILED DESCRIPTION OF WORK:
s.�aee t-l-a
CONSTRU(yTIO:N INFORMATION:
i tuna wor to a rme under this permit—check a appy:
0.HVAC Gas Tank ❑Gas Piping _Shutters �Windows/Doors
OElectric Plumbing Sprinklers Generator .Roof Q Roof pitch
Total Sq,Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ i� (f)(� Utilities:Li Sewer OSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Barbara Giancarlo Name:
Address:148 Pepper Lane Company:
City; Jensen Beach State:FL Address:
Zip Code: 34957 Fax: City: _State:
Phone No.(772)229-9550 Zip Code: Fax:
E-Mail:becarlo44@aoi.com Phone No.
Fi.N to fee:sirnple Title Holder on next page(if different E-Mail:
from the Owner listed above) Stat r County License:
if value of construction is$2500 or more,a RECORDED Notice o ommencement is required.
UPPLE ttE.NTAL CONSTRUCTION LIEN LAW INFORMATION—
ENG11NEER. Not Applicable MORTGAGE COMPANY: x Not
Applicable
Nanne Name:
Address: Address:
c1ty State: City: State:
zip: phone: Zip: Phone: -
FEE$4MM TITLEHOLDER. � Not Applicable BONDING COMPANY: .,_Not Applicable
Name: Name:
Address: - Address
City:
_ -
#p: Phone; Zip. Phone:.
Icerb v that no workor installation has commenced prior to the issuance of a permit.
Sucre count rrialGes no representation that is granttrig a permit will authorize theperinit hold to buitd the sub*ct structure
W �t in can I*with any applicable Home Owfiers.&s ocration rules,bylaws 4r and cvwen�nts�may relict or prohilark such
stnicture.Please consult whii your k6rrre Owners Association and review your deed Petr any which may apply,
tri eqnsiderationof the granting of this re
questedpermit,I do hereby agree that I will,,in all respects,perform the+stark
in a&cordance with the approved plans,ttie ftr ridaBuilding Codes and St.Lucie County Amendments.
The following building,permit applications are exempt from undergoing a full concurrency res iew:.roam additions,
accessory<structures,swimming pools,.fences;walls,signs,screen rooms and.accessory uses to another non-residential use '
WARNlM TO iw?')1ir'NEW Your failure to Record a Notice of Cornnwricernent may result In your payring trraIce far,
impr merits to your property.A Notice of Commencement roust be rewded and posted on the jobsfte
before tie firSt inspection, if you intend to obtain financing,,consult with lender or an attorney before-
0.0mrr t-Ain work err recording our Notice of Commencement.
�. i
Si rr3 Lir orttractoras;rt-Agent for&ner Signature of Conta�actorAlcense Nci
STATE ! FLiw1) lA " STATE C? .I'iLf) lI'!A
Co
3UNT'Y F _ COUNTY OF
The forgoing instrument acknowled
t e irag inst ent was ac nowlegt fore me It n8 B before me
of20
y this-. day of '20 —by
g;
Ilia person acknowlecigi � (Name of person acknowledging)
y
3�ignature of Notary state of Flolide.} (Signature of Notary Publ' -State Qf Florida t
Personalty Known fI atlon Personally Known OR Produced Identification
Type of,Identirrca
Type of Identification
�
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Rrptlted
C9rt �SSiU1 No. Flprda COrYiS5iUn Ni.
(Seal)
rPAMM.E 34730*re$vaY27.2019
Rimed 07fl5/201:4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TUR.TLE MANGROVE
COUNTER REVIEW REVIEW REVIEW .REVIEW REVIEW REVIEW
.GATE`
COMPLETE
I•NI�iRI..S p ,