HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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
Address. 3244 Vernon Street, Fort Pierce, 34982
Legal Description: Silver lake park sld blk 4 s 20 ft of lot 21 and all lot 22 (or 1703-1026)
Property Tax ID ##: 2427-701-0077-000-9
Site Plan Name: Christopher Pakuris
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Run water line from water meter to connect with house.
Lot No. 21/22
Block No. 4
Naamonai work to ne errormea unaertnis permit — cnecK ail apply:
HVAC _ Gas Tank E]Gas Piping _ Shutters Q Windows/Doors
11 Electric ❑✓ Plumbing Sprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 500 Utilities:n Sewer El Septic Building Height:
Name Christopher Pakuris
Address: 236 SW Harbor View Drive
City: Palm City, State: FL
Zip Code: 34990 Fax:
Phone No. 561-319-3763
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Wade Case
Company: Lindquist Plumbing
Address: 3185 Sneed Road
City: Ft Pierce
Zip Code: 34945 Fax:
Phone No. 772-461-1969
E -Mail: lindquistplumbing@ymail.com
State or County License: CFC1428458
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
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 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
commencinK work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contra ctorf License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 3"_ G%�' COUNTY OF 3s -"Cf UCC=
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _2.6 day of =RX. , 20 &-by this Z6 day of 20 `C by
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known ✓ OR Produced identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07/15/2014 L2LAtLn
(-'WHELLE TROT o mission No.
MY COMMISSION # EE$5 768
EXPIRES December 20, 2016
aIICHELLE TRT221016
A
M COMMISSION # 761
EXPIRES December
REVIEWS
FRONT
ZONING
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
REVIEW
Address:
City:
DATE
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 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 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
commencinK work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contra ctorf License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 3"_ G%�' COUNTY OF 3s -"Cf UCC=
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _2.6 day of =RX. , 20 &-by this Z6 day of 20 `C by
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known ✓ OR Produced identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07/15/2014 L2LAtLn
(-'WHELLE TROT o mission No.
MY COMMISSION # EE$5 768
EXPIRES December 20, 2016
aIICHELLE TRT221016
A
M COMMISSION # 761
EXPIRES December
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS