HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �f
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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: To Select from dropbox, click arrow at the end of line
P OPOSED imp" DEMENT LOCATION
Address: 8101 Alister Place
Legal Description: POD 26 AT THE RESERVE PHASE 1 CYPRESS POINT LOT 28 (OR 2460-51;2652-334;3527-1941)
Property Tax ID#: 3327-707-0032-000-6 Lot No.39E
Site Plan Name: Block No. 36S
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Project Name:
Setbacks Front Back: Right Side: Left Side:
DL7AILED DLSCRIPTION OFU/ORK
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CQ'1 5TRUCTIQ I> FOR
TION �
Acid itiona I work to be nertormea under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping M -tt-Shrs Windows/Doors
Electric 0✓ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
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Cost of Construction:$ �'JrO. Utilities. _Sewer[]Septic Building Height:
;OWNER/LESSEE
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ONTRACTtR'3 '
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Name Joan G Griffin Name: James Marsala
Address:8101 Alister PI Company: Peerless'Plumbing&Drain Services
City: Port Saint Lucie State:FL Address: 651 NW Enterprise Dr Unit 106
Zip Code: 34986 Fax: City: Port Saint Lucie State:FL
Phone No. /�S(y�Q i J Zip Code: 34986Fax: 772-344-6759
E-Mail: Phone No. 772-223-1356
Fill in fee simple Title Holder on next page(if different E-Mail: fames@peerlessplumbing.net
from the Owner listed above) State or County License: CFC 1428692
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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S1IPPLEItilIENT1L CONSTRUCTION LIEN LAIN iNEQI�MA1`IC1N m
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Ph,one:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City: '
Zip: Phone: Zip: Phone:
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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 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 ady 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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Signature of Ow Lessee/Contractor as Agent for Owner Signature of Co actor•/License Holder
STATE O FLORIDA _ STATE OF FLORID
COUNTY OFCOUNTY OF �fl
The forgoing instrument was acknowledged before me Theforgoing instr e t was acknowledged before me
this day of by thisf day of 20� by
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(Name of perso cknowledging) (Name of pe n acknowledging)
n ture of Notary Public- tate of Florida) gnature of�Notary"PZlic-(�tate of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. LA HAH A INGRAM
pSP OBC'.
LASHAHNA INGRAM =2.° ¢ms's_ Notary Public-State of Florida
N, -0 yr ExpiresDec 20,2018 it
n My Comm.Expires Dec 20,201a 1Z Commission#FF 177249 i
Revised 07/15/20 ,oFF h
'�. �;• Commission # FF 177249 ""` Bonded!hrouoh National Notary A•
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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