HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5T_1�4 Permit Number: \-tp5_6Q(;1
, _1 z� 4 ,� FRECEVEDI
MAY 24 2018
Building Permit Application
Planning and Development Services ST. Lucie C .11" y, Permlcc ng
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: Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 13196 NW Wheaton LN
Legal Description: RIVERBEND(PB 67-36)-LOT 2
Property Tax ID#: 4425-703-0007-000-4 Lot No.2
Site Plan Name: Block No.
Project Name:
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
DETAILED DESCRIPTION OF WORK:
DEMOLITION OF PARKING LOT
CONSTRUCTION INFORMATION:
Additional work toe er orme under this permit—check a appy:
HVAC 11 Gas Tank F]Gas Piping _Shutters Q Windows/Doors
aElectric El Plumbing Sprinklers FIGenerator Roof Roof pitch
Total Sq. Ft of Construction: N/A S . Ft. of First Floor: N/A
Cost of Construction: $ 2200.00 UtilitiestSewer 0Septic Building Height: N/A
OWNER/LESSEE: CONTRACTOR:
Name Standard Pacific Of Florida Name: SCOTT HARALA
Address:8895 NORTH MILITARY TRAIL STE 101B Company: STANDARD PACIFIC OF FL GP, INC
City: PALM BEACH GARDENS State:FL Address: 8895 NORTH MILITARY TRAIL STE 101B
Zip Code: 33410 Fax: City: PALM BEACH GARDENS State:FL
Phone No.954-575-7368 Zip Code: 33410 Fax:
E-Mail:Austin.Sims@lennar.com Phone No.
Fill in fee simple Title Holder on next page( if different E-Mail: PWXLISA@YAHOO.COM
from the Owner listed above) State or County License: CGC1506052
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION, LIEN_LAW INFORMATION:
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:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Installation as indicated.
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�A '
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORI" STATE OF FLORIDA
COUNTY OF ti< COUNTYOF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of fflh )e
20 by this day of f0atll 20� by
``_
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Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Stateof Florida) (Signature of Not y,�, 4>C— tate�€-blecitia
1;;,�, -------- N;; SIVAN SHACHAR
;gip` ' SIVAX§HACHAR Commission No. �, '� MYcOMMIS5I �I�p082944
Commission No. Y COMMISSION tt GC3082944
?!„ EXPIRES April 10,2021
EXPIRES April 10.2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17