HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Re -roof
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial X Residential
Address: 7576 South US1. Bav #22. Port St. Lucie. FL 34952
Property Tax ID #: 3422 858 0001 0007 Lot No.�,2.3 & 4
site Plan Name: Prima Vista Publix #855 Block No.
Project Name: Prima Vista Publix Re -roof
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional workto be performed under this permit —check all that apply:
_Mechanical
Electric
_ Gas Tank
_Plumbing
Total Sq. Ft of Construction: 45.900
_Gas Piping
_
Sprinklers
_Shutters
_ Generator
Sq.First Floor:
Cost of Construction: $ 429,411.00 Utilities: _Sewer _Septic
_Windows/Doors
� of 1/2 / 12 Pitch
Building Height: 18'
OWNER/LESSEE:
CONTRACTOR:
Name PR Prima Vista Crossing LLC
Name: Paul Range
Address: 1541 Sunset Drive. Suite 300
Company: Paul Banae Ronfing Ina
City: Coral Gables State: FL
Zip Code: 33143 Fax:
Phone No. 305-216-0099
Address: 7000 SW 21st Place
City: r]avie State: FL
Zip Code: 33431 Fax:
Phone No 954-981-7663
E-Mail: omar(o)paulbangeroofing.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail 0"llaa naulbangeroofing.com
State or County License CCC033691
If 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.
SUPPLEMENTAL CONSTRUCTION
LIEN LAW
INFORMATION:
DESIGNER/ENGINEER: _ Not
Name: Federal Engineering & Testing
Applicable
Inc
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 3370 NE 5th Avenue
Address:
City: Oakland Park State: FL
Zip: 33334 Phone 954-784.2941
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not
Name:
Applicable
BONDING COMPANY: X Not Applicable
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 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, 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 JOP SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDEWOR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
as Agent
lT
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF BROWARD COUNTY OF RR(�WARI�
Holder
The forgoing
instrument was acknowledged before me
The forgoing
instrument was acknowledged before me
this�dayof
February .202Q by
this�dayof
Anril .202Q by
Jeff Scott Paul Bange
Name of person making statement. Name of person making statement.
Personally Known X_ OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced N/A Produced N/A
Commission No.
TAVISHA CHANG H
:ommission R GG 1
My Commission E>
,� November 05, 71
of Notary
No.
REVIEWS I COUONTER I REVI W S REVIEWOR REVI W I VREV EWON I S REVIEWLE
Rate of Florida-Notar
Commission N GG 1
of lly Commission 2(
November 05. 21
MANGROVE
REVIEW