HomeMy WebLinkAboutRonnie Laneve 10T commercial 2ndAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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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:
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential
Address: r-1 O 7 {- 3Li
Property Tax l D #: Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Mechanical
Electric
Total Sq. Ft of Construction:
Gas Tank
Plumbing
Cost of Construction: $ rT, 000
OWNER/LESSEE:
Name L-"n eV
Gas Piping
Sprinklers
Address: kJS. f}'hux
City: State:
Zip Code: _CiS1 Fax:
Phone No.
E-Mail:
Shutters
Generator
Sq. 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: t-kc'141 J V -
Block No.
Windows/Doors
Roof Pitch
Building Height:
Company: Pw— `I - t"
Address: r1S wt K,� M 13
City: Stater
Zip Code: GSA- Fax: y -zI'A 4
Phone No -1 1X- 33,L�-2.3�jl;- _
E-Mail fly Fhrytir4c�kQ-�1MSN •cal
State or County License t:44C. IW I1 ac-)-1
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:
Name:
Address:
City:
Zip: Phon
Not Applicable
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
cip, Phone:
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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 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."
Sig a of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of
20_ by
Name of person making statement
Personally Known 41 OR Produced Identification
Type of Identification
Produced
(Signature of Notary P Ili ANN.o ere++rt.e.w
� Mercado
y commismon GG 136110
Commission No. C-I 6Epir �f2o21
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2777Tq--
Sign—aTu—re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20_ by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pu li o"fjaO.ric State of Florida
�Wanda E Mercado
Commission No.M&E%==421
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SUPERVISOR PLAN
REVIEW REVIE
S
W
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW