HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED1 ?0(0 .0319
Date: 06/13/2018 Permit Number:
RECEIVED
Building Permit Application JUN 13 1018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
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
r� d, {
Address: 7463 Commercial Circle,#110; Fort Pierce, FL 34951
Legal Description: d2 Ventures Inc. DBA Hoo-rag
Property Tax ID#: 45-4834552 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILtED DESCRIPTIONORK
To get electricity turned on in the electrical box of Suite 110. We were told an inspection is
required.
CONSTRUCTION INFORMATION
�. �,, ;.
Additionalworeto e e orme, under tispermit—check a' that apply:
IIHVAC f]Gas Tank E]Gas Piping ❑Shutters Windows/Doors
` lectric ❑ Plumbing Sprinklers ❑Generator Roof Roof pitch
'Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ WV 00 Utilities:ll Sewer 0 Septic Building Height:
QW-NE,R/LESSEE 7 CONTRACTOR:
Name )P�-nnj,-n JAQ 1,J&= Name:
Address: —SLA(off Co nn m e rr CIA l X110 Company:
City: g:j- Qi ercaP State: P(.. Address:
Zip Code: 3U10i ft Fax: City: State:
Phone No. ?n R31 g3L[\ x lcb'� Zip Code: Fax:
E-Mail: in& Q hinvi og. Carvi Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) = State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
r
1
F
I
.v.,S'�� ss a s 4: a,✓ r„r: s e ry ::.� £ ?..,.ry ,xtv i � �p:t a ,r r>F ;� +r Y'<,:x? ; Y�, r C§G(?�s N 5 �u s r
at•,y �f. � 'x;rt' t { '� r �� r ��67���'aa �S yr'�a tY33��^?� ah` *c"���i �'�� � ��� ;'.
.rN.,
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 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.
}HaQt12-I.l��l-
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA \ STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this (P day of u.2 20 I'S by this day of 20_ by
y2conicQ �lv�r5vr�
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Ids tificgio^n.1 Type of Identification
Produced�� �.1 Produced
ig tare of Notary Public- tate of Flodda.) Signature of Notary Public-State of Florida)
LASHAHNAINGRANI
HY
PC"",
Commission No. - �` . N(§Wublic-State of Flo;, Commission No. (Seal)
i J My Comm.Expires Dec 20, A'
Commission #FF 177249/
"4 or Flo
�1, ` J1dLJUJJdJ JJUJjJJJi sn.
REVIEWS FRONT ZONING S ERV O LANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17