HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: /--70
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rn Building Permit Application JAN 11 2017
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: Window/door
PROPOSED,IMPROVEMENT LOCATION
Address: 680 Hidden River Dr, Port St Lucie, FI 34983
Legal Description. Hidden River Estates BLK 2 Lot 11 (OR 1310-652)
Property Tax ID#: 3427-701-0035-000-6 Lot No. 11
Site Plan Name: Hidden River Estates Block No. 2
Project Name: Arnold
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF 1NORK
CONSTRUCTION.INFORMATION.
Additional work toe e orme under this permit—check a appy:
❑HVAC Ei Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 00690 J Utilities:cnSewer Septic Building Height:
OWNER/LESSEE CONTRACTOR
Name Wayne&Elizabeth Arnold Name: Jeff Jackman
Address:680 Hidden River Dr Company: Master Craft Aluminum Products
City: Port St Lucie State:FI Address: 1634 SE Niemeyer Cir
Zip Code: 34983 Fax: City: Port St Lucie State:FI
Phone No.772-873-1227 Zip Code: 34952 Fax: 772-335-0860
E-Mail: Phone No. 772-335-1177
Fill in fee simple Title Holder on next page(if different E-Mail: mastercraftaluminum@gmail.com
from the Owner listed above) State or County License: SCC131150586
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
;SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,
DESIGNER/ENGINEER: XX Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: 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 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
commencing work or recording our Notice of Commencement.
s
Si ture ner/L ssee/Contractor as Agent for Owner Si atur ntra for/License Holder
STATE FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ,day of � 20 L7—by this day of 20 �by
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida) (Signature of NotaK Public-State of Florida)
Personally Known OR Produced Id2Lti-f', tikjaW_ Personally Known 0 ro wntification
Type of Identificati n Produced ..v' Type of Identificati ce 01
'T11114 'PUBUC 6
TE OF FLORIDA STATE OF Fl.
Commission No.
Commission No. �f
' FFS42382vamnw
res 1/16/2020 Expires 1115!2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS