HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I FOM T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application JUL ® 6 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:
Electrical �'•:
PROPOSED FMPROUE1VfEN F I OCATON # '� " Y _ � �
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Address: 3087 Hammond Rd
Legal Description: 30 34 40 S 107 FT OF E 300 FT OF N 1/2 OF N 1/2 OF S 1/2 OF NE 1/2 OF SW 1/4 LESS RD AND CANAL
R/Q-(0.65 AC)(OR 3994-294)
Property Tax ID#: 1430-313-0001-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Additional work toe e orme under this permit-c ec a appy:
HVAC E]Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ I L Utilities: Sewer Septic Building Height:
Name IFS PROPERTIES LLC Name: JOHN CAVNAR
Address:360 MOTOR PKWY STE 200B Company: GOLDSTAR ELECTRIC, INC.
City: HAUPPAUGE State:NY Address: 3141 SW DIMATTIA ST
Zip Code: 11788 Fax: 1 City: PORT ST.LUCIE State:FL
Phone No. _-K LK Zip Code: 34953 Fax:
E-Mail: � ^r Phone No. 772-785-9719
Fill in fee simple Title Holder on n t page(if different E-Mail: jcavnar@goldstar-systems.com
from the Owner listed above) State or County Li ense_EC13002082
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SIPMN1`ACOIVSTRIaCTION`LENA1�11�NFtR1VfA 'IOIV� U �
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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
commencin ork oj..§ecording your Notice of Commencement.
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Si.Aa a wner/Lessee/Contractor as Agent for Owner Sig tur of Contractor/License Holder
ATE OF FLORIDA ! TATE OF FLORIDA r
COUNTY OF L� �� COUNTY OF
The oing instru ent acknowledge before me The f ing instr ment twacknrledg.-dfore me
this day of 20I�by this day of 20 by
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(Name of person acknowledging) (Name of person acknow ging)
(Signature of Vtary Public-State of Florida (Signature f No ry Public-State of Flori a)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS