HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: FEBRUARY 21,2017 Permit Number:
• i RE IV D
Building Permit Application FEB 201
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 x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ,
PROPOSED IMPROVEMENT LOCATION: -
Address: 4106 Mariah Circle, Fort Pierce, Florida 34947
Legal Description: 7 35 40 E 1/2 OF NE 1/4 OF NE 1/4-LESS N
355 FT AND LESS E 45FT CANAL R/W AND LESS AVENUE D R/W-(1.99 AC)(or3569-852;3681-2995)
Property Tax ID#: 2407-111-0001-000-3 Lot No.
Site Plan Name: 4106 Mariah Circle, Fort Pierce, Florida Block No.
Project Name: 4106 Mariah Circle, Fort Pierce, Florida
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Selectrice demolition interior ceiling, partition walls, carpet and tile flooring
CONSTRUCTION-INFORMATION:
Additional work to be nerformed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping OGenerator
Shutters QWindows/Doors
11 Electric Plumbing Sprinklers E] Roof Roof pitch
Total Sq. Ft of Construction: 2,000 S Ft.of First Floor: 2,000
Cost of Construction:$ 10,000.00 Utilities:Sewer E]Septic Building Height: ONE
OWN ER/LESSEE;. CONTRACTOR:
NameAncient Mosaic Studios LLC/Telstar Capital LLC Name: Randle L.Beckford
Address:4106 Mariah Circle Company: L.E.B. Demolition&Consulting Contractors, Inc.
City: Fort Pierce State:FL Address: 7 Harbour Isle Drive East 204
Zip Code: 34947 Fax: City: Fort Pierce State:FL
Phone No.912-222-7589 Zip Code: 34949 Fax: 772-461-2225
E-Mail:andrew@lawnchairusa.com Phone No. 772-461-4545 772-216-1286
Fill in fee simple Title Holder on next page(if different E-Mail: iwreckn@aol.com
from the Owner listed above) State or County License: 26948
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: x 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 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.
i2l, s
Signature o wner/Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF----- COUNTY OF-----
The forgoing instr ent was acknowledged before me The forgoing instrument was acknowledged before me
this�day of 20 Llby this zest day of FEBRUARY ,20 l7 by
Randle L.Beckford l. Randle L.Beckford
(N me of person acknowledging) (N me of person acknowledging
X
(Signature of Notary P lic-State of FI i ) (Signature of Notary Pu ic-State of Flor'd )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced (� G�C� Type of Identification Produced
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS