HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date ���\ 1� Permit Number:
RECEIVED
10= Building Permit Application SEP 0 9 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-3578 Commercial Residential
PERMIT TYPE: kk
r-
Property
Site Plan Name: Block No.
Project Name:'71,13
4 9A Yf..f-+..� f 'C
k k 8 Ss F J W Y t
��'`R.r
J
Ct'�NS�TRUCTIC? INFdR, �,I° : ��• ����,�„��� ��,>������. 1 �,,r �4�Y���;F,� ;�: ,� �.�' ,''�._, � ,�'�,.j,��•�i
r,?�� ...��'ae .�f'�.,as`�':Dk»:R�trns}..�"hu•.:,.,>.��."�a,�,e;(,''�,1y k �.t' +n ��.�.r C,�,;�,a� + wf��.a.a+�. eY ���,.r� �a ���y ,4 �sr aE� �,n �a v�:'
Additional work to be performed under this�permit-check all that apply:
—Mechanical _Gas Tank Gas Piping Shutters Windows/DooM
_Electric Plumbing _ Sprinklers Generator Roof Pitch
• J a
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ �('L} Utilities: —Sewer _Septic Building Height:
:OWIppx� ,;��{{.��+• ✓'ky ✓p it't Sid `+' k�5 i
9EflfIAES'5 M f CCtNTRACTQR ” *3 1 dw a� x .�� 1 t r'.
`+.., s ''
';.'-:r: �,�s`.� t c i."..e ;fi..,,'._• �.r.:�'. !�. �r��.��H '�.k "� .av�" �;�.v�s+.t �'�k a��1, r:
Name Name: JAMES E REYNOLDS
Address: 67q6 19n~ Company: CORAD INC
City:� . i��'e r�x3,.1 State: Address: 2771 VISTA PKWY STE F11
Zip Code:, 1(q' Fax: City: WEST PALM BEACH State: FL
Phone No. 7 7`2 - Z34 -W—°jZip Code• 33411 Fax: 561-771-0049
E-Mail: Phone No 561-771-0047
Fill in fee simple Title Holder on next page(if different E-Mail REBECCA@PERMITGROUPFL.COM
from the Owner listed above) State or County License CGC 054348
1f value of construction is$2500 or-more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
.,q; �.t"`r r;i,:'; � � ;x�_.ct `?.�zY.!f+S+��. .: �'r P�`=""''^•*r.:5'�e A��...=,^t� ,r° ui�-..s�"�,��,�=3 '"+�M`f�;9�t �,v.:s.:.' to;, A,�� s r. -3 ''�+�� *;�,,� €x-; err 4�.:� .
rSC� .:PT .MNTAL C�NfST�.�"� r��' !, LAV1��'ps{����R �ATI�• IU t ��a��, � � �� �',��-��� 4� �+,^���`n}��
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 allyespects,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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
nature of Owner/Lessee/Contractor as Agent for Owner tgnature of Contract r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF'PALM BEACH COUNTY OF PALM BEACH
The forgping instrument was acknowledged before me The forgoing instrument was acknowledged before me
this dayof1 m6d 204 by this,4_day of A41W 20K by
JAMES E REYNOLDS JAMES E REYNOLDS
Name of person'making atement. Name of person making,statement.
Personally Known OR Produced Identification Personally Known � OR,Produced Identification
Type of Identification Type of identification „
Produced �''';� Produced ,y .� S�!>141LY11Lyi111tA
v GO2904 p'B Genert l#=299 4
Ems:At gust 27,2022 4` F htgust 27,2022
• Bette!#0 ARM NO" Betided tteu Aaron
(Signature of Notrarrr d ulblic-Stateof Florida) (Signature of Nota Pu ic-State of Florida)
Commission No. CV -12-11L� (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 2/1/19