HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO.'MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t�
Date: 8/16%16 Permit Number
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Building Permit Application
Planning:and Development,Services
Building ond,Code Regulation:Division
1300 Virginia.Avenue,Fort Pierce FL 34982
Phone:(772)462=1553 Fax:(772)462-1578 Cornme.Nial X Residential
PERMIT APPLICATION FOR' Fence:
PROPC}SED 1I1(,
Address: EASEMENT OF 951 KING ORANGE AVE.DR,FORT PIERCE,FL.34982.
Legal Description: THE SOUTH 18'OF LOT 158:MARAVILLA:GARNDES UNIT THREE P.B.6PG 62 AND THE
NORTH 10'LOT 159
Property Tax ID a`\A -coo) OO—, Lot No.158.&159
Site Plan Name: OLEANDER AVE&KING ORANGE Block No.
Project Name: OLEANDER AVE PARALLEL PIPE-PHASE III KING ORANGE DR.OUTFALL CULVERT REPAIR
Setbacks Front NA Back: _5' R.ight Side,.5' Left',Side 5'
DETAILED'DECRIPTION'OFM
F WORK
CA- P-14I CLe-e- dui s.4 r.� :i _W1 M,a- :A h'A k `en ce
CONSl'RU � �i®�N INFORMATION ``a '° e ���E
�tiona wor o e e, orme un ert �s permrt—c ec
:all. app yM. -
HVAC GasTank ❑Gas Piping _Shutters Windows/Doors
❑'Electric . PlumbingSprinklers ElGenerator ❑Roof Roof pitch
Total Sq.Ft of Construction: ... S Ft.of First Floor-
1 _ •
Cost of Construction.: _je� — Utilities::Sewer _Septic Building Height:
OWNER/LESSEE=STLUCIE COUNTY CONTRACTOR PRP s O STRUCI'ON
Name ST LUCIE COUNTY Name: PEGGY.SHELTRA
2300 VIRGINIA AVE PRP CONSTRUCTION
Address: Company:
City: FORT PIERCE State:FL Address: 7600SW SP..RINGHAVEN AVE
•
Zip Code: 34982. Fax: City: INDIANTOWN State:FL
Phone.No.772-462-1.707Zip Code; 34956 Fax: 7725976924
E-Mail:BUCHANANI@STLUCIECO.ORG Phone No. 7725976923
Fill in fee simple Title Holder ion next page(if different E-Mail:.PPSHELTRA@GMAIL.COM
from_the Owner listed above) State or CountyLicense:, CGG1510570
If value of construction h $2500 or more,'a RECORDED Notice of Commencement is required.
r
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION �` � � Y s k i'
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: � Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x 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 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 prorinyjg
y.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. ou'intend to obtain financing,consult with lender or an attorney before
commencingwork or recoour Notice of Commencement.
sihg(�
s
gnature of Owner/Lessee/ ontractor as A,61nt for Owner Sign ur o actor se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ��� I_UGL E COUNTY OF MARnN
The foraging instru t w s ackno ledges(before me The forgoing instrument was acknowledged before me
this 19day of 20 _ff0_1by thisday of AUGUST 20[1,, by
PEGGYSHELTRA
(Name of person acknowledging) (Name of person acknowledging
Jue_�_.42,
(Signature of Notary Public-State of Florida) (Signature of otary Public-State of Florida)
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ommission No. (Seal)
ti lav MY SUSAN
ACOSE8TIN0
COMMIS ION#FF237000
r yz SUSAN A COSENnNO
a EXPIRES;August 1,2019NMY COMMISSION I IT Zif EXPIRES:August 1,2019
Revised 07/15/2014 Rf, ••' e�ndeeThNrioti�ypubr�und� ;tees Rr;W—
Banded ThmNotary Pubr,cuneen»dcers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS