HomeMy WebLinkAboutPermit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/10/2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line',
eel► --
PROPOSED IMPROVEMENT LOCATION:
Address: 889 NE PRIMA VISTA BLVD UNIT B
Legal Description: RIVER PARK -UNIT 3 - E 388.35 FT OF TRACT D AS MEASURED ALG THE NLI OF SD TRACT
(MAP 34/22S) (OR 2622-1580 THRU 1592
Property Tax ID #: 3419-515-0001-000-3 Lot No.
Site Plan Name: Block No.
Project Name: NAIL BAR
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
C.i�/'Qw' 7' V�✓�1�29 �°t��off.
CONSTRUCTION INFORMATION:
Ai3 :ial work to e e orme un er t is permit -- c ec a apply:
ZHVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing ❑ Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2192.00 Utilities: �— Sewer ❑ Septic Building Height:
OWNER/LESSEE:
Name ST LUCIE REALTY
Address: 469 MARINER DR
City: JUPITER State: FL
Zip Code: 33477 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: W.S. HIXON
Company: AIR PLUS
Address: 3261 SE SLATER STREET
City: STUART
Zip Code. Fax:
Phone No. 772-486-2002
E-Mail: AIRPLUSFL@YAHOO.COM
State or County License: CAC#1816064
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If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
f Zip: Phone:
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BONDING COMPANY:
Name: _
Address:
City:`
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
X Not Applicable
State:
X Not Applicable
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 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 y u intend to obtain financing, consult with lender or an attorney before
commencingwork r rec d'to^ir Notice of Commencement.
Signature of Owner/LessEe/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged, before me
this 10 day of � J 20 Jaby
4Li
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Know
Type of Identific�
Commission No.
Revised 07/15/2014
Notary Pubiir - 'State of Florida
A`. Commission 1§99 ) 7501
mm, Expires Jul 13, 2023
Bonded t� h� ro_ u�h Nati"al Notary Assn,
REVIEWS FRONT ZONING
COUNTER + REVIEW
DATE
COMPLETE
INITIALS
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SUPERVISOR
REVIEW
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3IgrldLure ❑T contractor/License Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
this 10 day of 'u" 20 2 ,.., by
Ld, S W or-)
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known
Type of Identification r KATHLEEN µ. MiNTRU.s
r,orlCr.
Commission No. 6 Commission GG 317501
y Comm. Ei PrA Jul 13, 2023
Bonded through ti _�oora: Notary Assn.
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW