HomeMy WebLinkAboutBuilding Permit Application NOV-1G-2016 15:21 P.01
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11 r�`
Date: Permit Number; I 1 'Oc ,0�--•�l
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 215 RIOMAR DRIVE PORT SAINT LUICE, FL 34952
Legal description: _ RIVERPARK UNIT 2 BL 10 LOT 23 LESS N 151sT-(MAP34/223) (OR 1494-196. 3623-1001, 1012) !
Property Tax Ib#e 3419-510-0057-000-•5 _ Lot No.23 _
Site Plan Name: Block No. 10 ;
Project Name: WILL RESIDENCE
Setbacks Front Back: Right Side: Left Side:
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REPLACE EXISTING AC EQUIPMENT WITH TRANE EQUIPMENT
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AdditionalION'
workto e e orme un ert is permit—checka appy:
HVAC Gas Tank DGas Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers 13 Generator Roof Roof pitch
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Total Sq. Ft of Construction: _ S . Ft_of First Floor:
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Cost of Construction: _ Utilities: Sewer Septic Building Height:
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Name JIM AND LINDA HILL Name: STEVE SANDERS I
Address-.215 RIOMAR DR Company: STEPHEN K DENNY
City: PORT SAINT LUCIE State: FL: Address: 406 COMMERCE WAY
Zip Code: 34952 Fax: City; JUPITER State: FL
Phone No. 561-843-4977 Zip Code: 33458 I, Fax:
E-Mail: Phone No. 561-743-9554
Fill in fee simple Title Holder on next page(if different E-Mail: MHOLLAND@STEPHENKDENNY.COM
from the Owner listed above) State or County License:
CAC1813800 -
If value of construction is$2500 or more,a RECORDED Notice of Commencement'is required. I
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NOV-16-2016 15:22 P.02
S.Li~F'PUMISITA�L.;CONSTRU 1N•iJEN.LAW'IN:F Rk1A'A .1 f :.
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DESIGN ER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Applicable
Name: Name: _
Address: _ Address: _
City: State: City: I - State: _
Zip: Phone: Zip: ,Pf hone:
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FEE SIMPLE TITLE HOLDER: _Nat 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 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 past on the jobsite
before the first inspection. If you intend to obtain financing,consult ith lenderor an o ey before
comm 'work or recor our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractoe/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PORT SAINTLUCIE COUNTY OF PORTSAINTLUGIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me ff
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this ay of iVO�f�r r 201 by this I day of �0Ye.ri1r_e— ,20X(P by �f
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(Name of (Name of pers
(Signature of Notary ub Ic-Stateof Florida) (signature of o ary iub Ic- a e o orida) _
Personally Known "4Q OR Produced Identification Personally Known?r�i OR Produced Identifica �_
Type of Identification Produced Type of Identification Prod
Commission No. WN1R0 Commission No. :,r� MY 0{V1tFFQ38576
M� j FF��' IRES:Jdy 21,2007
l � M Bended7lwNotmYPuhueW�Oe1W�6or5
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ,
DATE
COMPLETE
INITIALS
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