HomeMy WebLinkAbout6000 Travelers Way app (2)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ❑ � l� � 1
Permit Number:
Flunding Permit Apnficnti®n
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Prone: (772) 462-1553 Fax: (772) 462-1S78
Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: l r,� �TrlTl r� 1 n ! ,•,; r r7 �1--,
Legal Descriptidn:
I
Property Tax ID #: 3_ZZ:)_ ® Lot No. I
Site Plan Name:
Project Name: Black No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
A itiona woi to e er Dime un er t is permit
0`� PP Y�
HVAC _ Gas Tank ❑Gas Piping Shutters
❑ Windows/Doors
❑Electric El Plumbing ❑Sprinklers ❑
Generator ❑Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ „
OW N ER/LESSE E:
Name -
Address:
City:; State:
Zip Code: Fax:
Phone No. I
E-Mail:
S Ft. of First Floor: _
Utilities:Sewer ❑Septic
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JOSEPH FTULLY
Building Height:
Company: GENESIS PLUMBING SERVICES INC
Address: 1532 SE VILLAGE GREEN DRIVE UNIT B
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax: 772-335-2680
Phone No, 772-337-3682
E-Mail: genesisplumbingservices@grnail.com
State or County License: CFC1429103
If value of construction is $25p0 or more, a RECQRi]ED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
— Not Applicable
State:
— Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: . phone:
BONDING COMPANY,-
Name -
Address:
City:
Zip: . Phone;
— Not Applicable
State:
—Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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, 1 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 recordin our Notice of Commencement.
Signature of Owner) see/Contractor as Agent far Owner
STATE OF FLORIDA.F. 1
COUNTY OF
The forg ing instrument was acknowledged t�fore me
this �y of �1�c-�r� . 20 �C�"by
(Name of person acknowledging)
(Signature ofi Notary Public- State of Florida )
Personally Known ;.•�ti';:"' prc�bolF�crZ
Type of ldentificati Commission # GG 9715D
Y ommission xpi
Commission No. rF+'' Apri 24 2021
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF
The for ng instrument was acknowledged before me
this day of !- C) 20 R by
�� r, •, f
(Name of person acknowledging)
(Signature of Notary Public- State of Florida) "
Personally Known =prlI1ZA,1?021
f Z
Type of ldentificati' o s 5-
re:��0lop, `
Commission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
VEGETATION j SEA TURTLE I MANGROVE
REVIEW I REVIEW 1 REVIEW