HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED-FOR APPLICATION TO BE ACCEPTED i
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Date: CO-- r.Permit Numbe1 O
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Building PermitApplication. SEP 0 8 2016
Planning and Development Services PER1.AITT1,,yG
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 yes
PERMIT APPLICATION FOR: Roof
PjROPOSED IMPROVEMENT LOCIaI ION _
Address: 7002 Sebastian Rd. Ft Pierce, Florida 34951
Legal Description: LAKEWOOD PARK-UNIT 11-BLK 150 LOT 10(MAP 13/12N)(OR 3011-2024;3842-2086)
Property Tax ID#- 1301-613-0309-000-5 Lot No.10
Site Plan Name: Block No. 150
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF WORK tifr" Y '
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CO:NSTRUCTION,INFORMATION ` g{ ` k '"5 j}„ k ,> ' ,._
Additional work to Tehertormed 'under this,permit-c ec a appy:
EIHVAC Gas Tank _ E]Gas Piping Shutters F]Windows/Doors
Llectric ❑PlumbingS,prinklers E]Generator
JERoof 412 Roof pitch
Total Sq.Ft of Construction:. S .Ft.of First floor_ 1614
Cost of Construction:S 8750.00 Utilities: Sewer FSeptic Building Height: 14' .
Name Christine Thomas Name: John F Durham
Address:7002 Sebastian Rd. Company: Durham Brothers Inc.
City: Ft Pierce State:FIL Address: 15897 62nd Place N, Loxahatchee A 33470
Zip Code: 34951 Fax. City: Loxahatchee State:FL
Phone No.772.359.8809 Zip Code: 33470 Fax.5611-el- W
E-Mail:cmthomasart@aol.com Phone No. 561.315.1835"
Fill in fee simple Title Holder on next page{if different E-Mail: johnfdurham@msn.com
from the Owner'listed "above) State or County License: CCC1326757
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SU,PPLEIVIENTAL CONSTRUrCT10N LIEN LAW INFORMATION '
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: NA Name: NA
Address: Address:
City: State: City: State:.
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable ' BONDING COMPANY: Not Applicable
Name: NA Name: NA
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of 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 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.
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Sign Owner/Lessee/Contractors Agent for Owner Sig ❑ e o, ontractor/License Holder
STATE OF FLORIDA /� L.� S ATE OF FLORIDA Z9(jN ,
COUNTY OF �, U<z za/y;' COUNTY OF j 4
The forgpg instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-2-40day of 111/it aUT 20 Eby this 1� day of /9l/lr�/ ,20 4 by
D/pv oepmA'I .moo t'f N ff f� V 9 14 P1-1
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of NotaryPub'c- orida;) /- {Signature of Notary Public-State of Flor da
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Personal) Known OR Produced identification. ✓ ers ally Known 'V OR Produced ntification
Type of Identification Produced f=L .DOjIdentification Produced
Commission Nom eal) MM�gs 25�nnm ion No. "+• Ss�r`V 2020
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Revised 07/15/2014 .'''�°�'' ,�''3 UZI;
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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