HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C�Q
Date:A a,3�aa Permit Number: -°Q,cn3 ( A/'� 1 (
T
Building Permit Applic tionRECEIVED
Planning and Development Services MAR 18 %'(J%`)
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ie aunty, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X R
PERMITTYPE:Building - Fence
PROPOSED IMPROVEMENT LOCATION:,
Address: 4946 S 25th Street, Ft. Pierce, FL 34936
Property Tax ID #: 3404-233-0002-000/9 Lot No. 2
Site Plan Name: rop(
Project Name: Pope)
bETAI,I ED DESCR
On site Fencing
Site Plan
Louisiana Kitchen
CONS TRUCTIONINFORMATION:•__
Additional work to be performed under this permit -check all that apply:
Block No.
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5,000
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
„OWNER/LESSEE:'
M
CONTRACTOR
Name VRE Fort Pierce, LLC c/o Jason Keen
Name: John Ross
Address:1211 S White Chapel Blvd
Company: ROSSCO Construction Services, Inc
City: Southlake State: _
Zip Code: 76092 Fax:
Phone No. 504-684-1222
Address:170 E. Boca Raton Road- Suite 2
City: Boca Raton State: FL
Zip Code: 33432 Fax:
Phone No 561-395-6905
E-Mail:-rclaibome@verdad.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail JRoss@rosscogc.com
State or County License
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.
, w.• z i, i CTI_ ro .-, ., �.
SUPPLEMENTAL CONSTRUON LJEN`LAW INFORMATION
=
DESIGNER/ENGINEER: _ Not Applicable
Name: LIS Architecture
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 2572 West state Road 426, suite 2064
Address:
City: Oviedo State: FL
Zip: 32765 Phone 321-244-0402
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 permitwill 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 COMMENCE MAY RESULT IN YOUR PAYING
TWICE FOR" PROYEMENiS TO YOUR PROPERTY. A NOTICE OF COMM CE ENT MUST BE RECORDED AND
P9ST,ED ON HE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT D T OBTAIN FINANCING, CONSULT
RH OUR L DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC OF CO MENCEMENT."
Signat Ire Owne /Lessee/Contractor as Agent for Owner
Signature of Contra or/Licens . 'Bider
STAT FailawoA- -WIS
STATE OF FLOR
COUNTY OF 70Xf �,/'fl f-
COUNTY OF
The forgoing instrument was acknowledged before me
The ing instrument was knowledge before me
this day of �i11//r � 202Q by
this day of M&rc 1 .20�Q by
J0 n IS
Name of person making statement.
Name of person making tatement.
INnnl///
Personally Known OR Produced �@'Cirgl /7�
Type of Identification .`� • ' • ' '�
Personally Known OR Produced Identification
Type of Identification
Produced
Produced � U..�O �in'jtP ;
(Signature of Notary Public -State off lo1Qd �32173�"Ory„3``�
'�
(Signature o Notary Public- tat + a INotary Puhlic State of Fl
Christine
Commission No.1Z7 �'(SpjEP 16? 1��`
Pritz
Commission NO K . 7Sx Commission GG 93T
Torn
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Tres ll/17/2023
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