HomeMy WebLinkAboutBuilding Permit Application 12/06/2018 16:31 5613833241 A EXCELLENT PAGE 02/09
ALL APPLICABLE:INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 12-6-18 Permit Number:
E
EIVED
Building Permit AppliCatio0 6 2018
Planning and Development ServicesBullding'and Code Regulation Division unty, PaMMIn9
2300 Virginia Avenue,Fort Pierce FL 341482
Phone:(772)462-2553 Fax. (772)452-1578 Commercial YES Residential
PERMIT APPLICATION FOR: Mechanical
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Address: 353 PRIMA VISTA BLVD,PORT ST LUCIE,FL 34983
Legal Description. RIVER PARK-UNIT 4BLK 36 LOT 30(MAP34/28N)(OR1221-2543)SITE ATTACHrmD
Property Tax ID#: 3419-530-0210-000-Q Lot No
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: .- Left Side:
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trona wor o e e Orme un er t is perm) —c ec
all tual appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric 0 PlumbingSprinklers Generator Roof Roof pitch
Total Sq,Ft of Construction: S Ft.of First Floor:__..............
Cost of Construction:$ 7150.00 Utilities:[]Sewer Septic Building Height:
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Name ADVANCE AUTO PARTS - ---w-- Name: WALTER WEISS,JR
Address:PO BOX 2710 Company A EXCELLENT SERVICE,INC
City: ROANOKE State:_ Address: NA
Zip Code. 24001 Fax., City: PALM BEACH GARDENS State:EL
Phone No,561-383-3855 Zip Code: 33410 Fax: 561-383-3241
E-Mail:NA Phone No. 501-383-3855
Fill in fee simple Title bolder on next page(if different E-Mail: aexcellentsery@aol.com
from the Owner listed above) State or County License: CACO24382
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required,
12/06/2018 16:31 5613833241 A EXCELLENT PAGE 03/09
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DIESIGNE ENGINEER: Not
Applicable MORTGAGE COMPANY: Not Applicable
Name-,JAMESSU5HOUSE Name'NA
Address:MNE1UTHTERR#24 Address: NA
City: POMPANO BEACH State: FL City: NA ... State: NA
Zip: saasa• phon( aM481-242 Zip; NA— Plivne:NA
FEE SIiMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name-.NA Name:NA _
Address NA Address: NA
itY•Na city:""--
Zip: NA Phone:NA Zip:NA Phone:NA
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 representtion 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 undergoinga' 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 BacQrd a Notice of Commencement may result in your paying twice for
i provements to your property.AIce f Commencement must be recorded and posted on the jobsite
fore the first inspection. If you end to btain financing,consult with lender or an ney before
commencing work or recordingur Noti of Commencement.
Signa of Twner/Lesse Co ra as Agent for Owner Signature of Contrac or/L ense older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-Rut-cm COUNTY OF ---
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 8TH da Of DECEMBER .20 b Y this_� da of Y day DECEM---._...__. . ,20,T,_, by
WALTER WE168,JR WAITER WESSS,JR
Name of person making statement Name of person making statement
Personally Known n= OR Produced Identification—.__ Personally Known x)= OR Produced identification
Type of Identification Type of Identification
Produced Produced
s �
(Signa of Notary Public tate of Florida) ROti1t1 (Signat f Notary Public-SLdte of florlda)
Commission No. FF2o1e83 tRSot'o 5 2nd mmission No, P r. g51� PP2 3
E R e
F F�� FF203639 a�# 03
C � pgbSuary , Q.- ASCII% �5,24
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REVIEWS FRONT G SUPERVISOR PLANS VEGETATION • tyK RTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED i
DATE
COMPLETED
Rev,8/2/17 '