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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 10 l o f s RECEIVED a Building Permit Application DEC 2 0' 2016 Planning and Development Services Building and Code Regulation Division PERMITTING 2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Demolition PROP0 ED.IMPROVEMENT'LOCATION = Address: 14300 Orange Avenue, Fort Pierce, FL Legal Description: 7 35 39 BEG AT INT N RMI ORANGE AV ET AND E LI OF W 1/4 OF NE 1/4,TH RUN W 215 FT,TH N 600 FT, TH E 215 FT, TH 2 600 FT TO POB-LESS RD AS IN PB 22-16 Property Tax ID#: 2307-133-0005-000-2 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION QF WORK `i Demolition of two (2) structures as depicted in attached aerial photo. All other structures to remain. Grade, sod, and seed in all disturbed areas. CONSTRUCTION INFORMATION _ Additional work toe nertormed under this permit—check all appy: HVAC OGasTank ❑Gas Piping _Shutters ❑Windows/Doors 11 Electric ❑ Plumbing OSprinklers ❑Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: SFt.of First Floor: 00 Cost of Construction:$ �O©� Utilities: Sewer ElSeptic Building Height: OWNER/LESSEE CONTRACTOR: Name PATRICIA K BLACK Name: STEVEN M WEAVER Address:440 S MARKET AVENUE Company: REALTIME PROPERTY&DEVELOPMENT City: FORT PIERCE State:FIL Address: 607 MALABAR AVENUE Zip Code: 34982 Fax: City: FORT PIERCE State:FL Phone No. Zip Code: 34949 Fax: E-Mail: Phone No. 772-344-7100 Fill in fee simple Title Holder on next page(if different E-Mail: REALTIMEFLA@AOL.COM from the Owner listed above) State or County License: CGC 1505490 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CO:NSTRUCTIQN{LIEN LAIN INFORMATION,: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Ad d re ss: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Na me: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit,I do hereby agree that I will, in all respects,perform the work in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before comMencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORID COUNTY OF �_OC_tL COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of EES e_Mbe_r 20 Eby this$day of►�C'C�i'71 2_Y .20 L�Q_by (Name of person ac k wledging) (Name of personnowled "ng) =onall Notary ic-State of Florida ) (Signatu of Notary Public-State of Florida) own OR Produced Identification Pe nown OR Produced Identification Type of Identification ro uced Type of Identification =.---- = —k- ���.+�'� JAMIE LEE PIERCE JAMIE LEL PILRCE Commission No. NoI�ASPOMIC-State of Florida Commission No.4`� c+ Notary�Mr State of Florida _• •= Commiselon#FF 189577 ?• . Commission#FF 189577 my Comm-Expl Anr 2012 ?, o:= My Comm.Expires Apr 21,2019 Bonded ttxouphh NafiWw l Notary Assn. '•,������•`• 8ondedt sn. Revised 07/15/20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS