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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB E INFO MUST BE COMPLET D FOR APPLICATION TO BE ACCEPTED Date: I' Permit Number: r Bull ilding 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 ✓`- I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCA ION: Address: Legal Description: WICC and PropertyTaxlD#: �3�� " �o7'�Z C��Q� Lot No. Site Plan Name: Block No. Project Name: Setbacks Front 5,1)t• Back: �4 Right Side: `/ Left Side: I DETAILED DESCRIPTION OF WOR : �u%� �.l I �Cw 4�! I_.t�od �-c e, �xr r.•- Gr- 7 u..-[-�- � �a-�-e. eG G�-- 5;�� � l w�1'�►I^ Vy, Zv CONSTRUCTION INFORMATION: Additional work toa er orme un er this permit-check a appy: E1HVAC E] Gas Tank Gas Piping _Shutters Q Windows/Doors L=lElectric ElPlumbingSprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction:$ o©� � Utilities:In Sewer L]Septic Building Height: I OWNER/LESSEE: CONTRACTOR: I Name 6,ll oSS &r ;c.v,. Name: Address: 2a o fog (✓+-� Company: vele/'Gca.s .e-c, �c:� o✓ �G- City: Cif fQ uc'e- Stater Address: ZraU Y,.,) w Zip Code: Fax: City: /osc- State: l2- Phone No. Zip Code: 3� f3 Fax: -M-o°7n1-lbo 1 E-Mail: Phone No. '7'1Z-6;79 �3 � Fill in fee simple Title Holder on next page{if different E-Mail: k --e-. Gp- from the Owner listed above) State or County License: If value of construction is$2500 or more,a RE ORDED Notice of Commencement is required. ` SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIG VERIENGINEER: Not Applicable iII t►111W!Rlf`GAGE COMPANY- Not Applicable Name: i Name: Address: Address_ I City, State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not ApplicaWe BLINDING COMPANY: —Not Applicable Name: Name: _� 4 Address: Address: City: city: Zip: Phone: _ zip: Phone; I certify that no work or installation has comm E aced prior to the issuance of a permit. St.Lucie County makes no representation that i 5 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 rosy restrict or prohibit such structure.Please consult with your home Owners Association and review your deed for any restrictions which rray .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 erupt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences, ails,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 interic to obtain financing,consult with lender or an attorney before comrriencinQ work or recording your N Lice of Carrmmenceme t.. Signature of Contractor License holder y _Signature of Owner/Lessee/Agentg / STATE OF FLORIDA - STATE OF FLORIDA-- COUNTY OF Z L � COUNTYOF -7 _, L The forgoing inst!�4rn-nt was acknowledged before me The forgoing instrument was acknowledged before nae this�day of /r J-10 7 20 0-by this ZA day of o &t- ,20 by :T ✓ fir "P "C 1i as C^ —AILL ( ame of person acknowledging) (Name of person acknowledging) tl (Signature of Notary Public-State of r orida) (Signatur of Notary Public-State Florida) 1 I Personally Known'_OR Produced identification Personally Known /- OR Produced identificaticn Type of Identification Produced Type of Identification Produ nY PU'1 r • #Y��... 7 ;d$ - ICiIK AFti ICATZ ' I ~' KIRK AE11 A� �(({ _ , dnnkSsiOly FF0449 COmET1ks5FOn ljio.� ;,�� ) ..l3FFImiss: n 6. e '� €v9Y COMMISSION 56FF044924 �,��j►5> �: EX ry i ?� Cr[ O: OF Flb4 EkPIrjES August 12.2017 '•' os iz° ES X51 151ClAAA (4071398-01 S3 HORCallotary ervicc.com Revised 0711512014 (am)398.0553 Floridalloiaryservice.corrt 1 I. REVIEws ! FRONT ZONING � SUPERVISOR PLANS ! VEGETATION SEA TURTLE MANGROVE. COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW - REVIEW f DATE . COMPLETE . . ._ j Pre are P by: ,A65EPFF E.SR1n'H,C1XAK OF THE CIRCiNT CIX1RF Ryan Grazi,Esq. SAIHr LItcrECOUNTY Grazi&Gianitto,I.LP, FILE#4277679021152017 0t:17,J7 PM OR BOOK 3963 PAGE 2174-2174 roc Type:OEM 17 E.Ocean Blvd. RECORDM $10.00 Stuart,Florida 34994 Dec Tom_sl=.00 File Number.GG- 0-17 Corpora' Warranty Deed This Indentut• , made,February_L;,2017 A.D_ .Between JRG Holdings,Inc.whose post office address is:423 Delaware Avenue,Fort Pierce,Florida 34950 a corporation existing under the laws of the State of Florida,Grantor and Tracey Kwiecinski,as Trustee or the William Ploss and Kathleen Ploss Irrevocable Living Trust Dated January 6,Z0I6,whose post office address is:35 Cypress Lane,Shirley,New York 1?967,Grantee, Witn Seth,that the said Grantor,for and inconsideration of the sum of Ten and No/l00 Dollars(SI0.00 ),to it in hand paid by the said Grantee,the receipt whereof is hereby acknowledged,has granted,bargained and sold to the said Grantee forever,the fallowing describe land,situate,lying and being in the County of Saint Lucie, State of Florida,to wit: Lot 6, Block 80,LAKEWOOD PARK UNIT NO.7,according to the plat thereof as recorded in.Plat Book 7ubject ofthe Public Records ofSt.Lucie County,Florida. to taxes for the torrent year,covenants,restrictions and easements of record,if arty. Parcel Identification Number: 1301-607-0257-000/6 And �e said Grantor does hereby fully warrant the title to said land,and will defend the same against the lawful claims of all persons whomsoever. In Wititess Whereof, the said Grantor has caused this instrument to be executed in its name by its duly authorized officer and caused its cI rate seal to be affixed the day and year first above written. JRG Holdings,Inc. r, Signed and Sealed in Our Presence: By: Glenn M.Blake Its:President - (Corporate Seal)State of Florida County of i r_,r-,G 1: The foregoing ins ent was acknowledged before me this�day of February,2017,by Glenn M.Slake,the President of JRG Holdings;Inc.A coli oration existing under the laws of the State of Florida,on.behalf of the corporation. He is personally known to me or has produced as identification. :U�Zlublic , uANLSSA J-atat�vmo�Y @ C.ommmsm#FF 194059 Notary Printed Name: FXpims.laouary29,2019 ; 1 !a•' ^. n.tiaarr�a...ew4e3ro� MyCommission Expires:: Z/Z: d LltttitXLJOIj NV UOL LIOZ-00-8dV f Y l f V )OO (--aA r c-C