HomeMy WebLinkAboutAll Signed_Building Permit ApplicationAll APPLICABLE WO MUST BE COMPI-MI) FOR APPLICATION TO BE ACCEPTED
Date; August 6, 2420 Permit Number:
Building Permit Application
Forming and Vei*PMea?t Seavrces
l3;uAding and Code ReGrWat n
23001fi'rgtnic Ayen ue, FW Pkrw Fi .34
Phone- (772) 462-7553 Fax. (772) 462-1578 Commercial _ Residential
PERMIT TYPE: Commercial Interior Minor Improvement
PROPOSED IMPROVEMENT LOTION:
Address. 8527 &X29 S US Highway 1, Port St Lucie, FL 34952
PfapertV Tax ID #- 3414-501-1912-SM16 Lot No. 12,13.14 315
Site Plan Name: 'Crowne Plaza Black No, 3
Project Named Solan "Giros
DETAILED DESCRIPTION OFWORK-
Build interior walls anHd drywall- Cut opening in existing wall.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -r-heck all that apply:
Mechanical Gas Tank Gas Piping _'Shutters.
Electric _ Plimbmg _ Sprinklers _ G,eiieratur
Tota lSq. l~tof+Coostruction: 3,000
Cost of Constroction. 9,5W-00
OWNERILESSE'E:
5q, Ft.,Df First Floor: 3,
WC
utilities, _Sewer _ Septic
Name - k r -w,' -F y
irity' r -.e 4' {� � _ r .2r ,- V _ State:
zipCode; 2,14ckchj Fax:
Phone No -1-17-- 4kt, - b 1 `l
-Mail= -
Fill in fee sinnift Title Holcler on next pope ID itydif#efc —
from the owner listed above)
iCONTRACTOR_
Name . Thomas R. Miilt'
WindQws/Doors
Ruoff Pitch
Budding Height-. 25 Leet
Company: TRM Construction lid anagenr*nt, Inc.
Address: 1512 SE Village Green Drive
CAy: Part St LUCi,e State: FL
Zip Cade, 34952 Fax. 772,235.31181
Ph,ne No 772.9905 2727
E-M.;ijul tm,-rccorptl.corn -
State or County License CGCO24829
if value of construction is $j5+C1L1 or innore, a gEcCiR o %otice of Commencement is requiired-
if value of HVAC is $7,5 7 or nmwe, a RECORDM FOrfice of Cornmigneament is requireid,-
'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESICSNER/EN&INEER. Not Applicable
Name',
Address'.
City:
Zip:
Phone
State
MORTGAGE COMPANY' Not Applicable
Name:
Address-,
City:
Zip: Phone -
FEE SIMPLE TITLE KOLDER: Not Applicable BONDING COMPANY:
Name.
Name:
Address;
Address;
City-
City:_
Zip: Phone:
Zip: —
PI
Not Applicable
OWNER/ C0tffMCT0R AFF10M. Applicafion is hereby matle to obtain a permit to do the worts and installation as indicated
I -I that no work ,pr irwtaltation h"-comrn4mced print to the issuance of a permit
SL �oun7 makes no representation that is granting a permit wiill, authorize tsermit holder to build the subject WWure
g pe t
M PS kn conk ict with any applicable Horne 011 Association rules, bylawsor a covenants that may, restrict ( pr*kRx --uch
stnicture. Please consult with your Honm Owneirs Asmiciation and review your deed for any restrictlims iihioch may ao*.
In consideration of the granting of this requested permit- I & hereby agree that I will,. in all reNxKft, P"fai. Ow wa*
in aowdance with the approved plans, the FkAda Buddft Codes and St. Lucie County, Amendments.
The follewing building permit applications are exemprt from undergo inn a full con -currency review: room additions,
accessory structures, swimming pools, fertm, walls, signs, screen rci)rns and accessory uses to another non residential use
'WAIJI111111111111111110C TO OWNER, YOUR FAILURE TO RECOSM A NE)TICE Of COMM11IMCFMM MAY RESULT IN YOUR PAYING
ir�rEFM UWROYERENTS TO YOUR PROPERTY- A NOTICE OF COMMENCEMENT MOST BE RECORDED AND
PCWM ON THE JOB SITE BEFORE THE FIRST INSPECnO 1F YOU FNTEN11 TO OUFAIN FWAMVjG,, CONSMT
VOM T� LEAUDER OR ALN ATTORNEY BEFORE RER NOTICE OF COMMUKENEXY
-T --- VF-
5ignature of Ownertesseetractor as Agent for CIIII
-ensemoliler
STATE OF PI IA STA I OrFLORIDA , LUC.
COUNTY OF Z-& 01 oul �4— CTY OF - ,e
The faFgairM Wistvau"t was acknowledged before me
this _ day of , 20 by
Alitk
Na ffson
0 P
er 4 'DR Prodwed klen0k2dim
'r' rt r, 4,W,
qn �& oV
RubUc- State o[Fllorrida
Commission No
II�ilovjI I
I t I'm
The forgoing instrul"
this 1 ,0 day of g*norwiedged before me
20" by
Name of person making statement
Personally Known E
TWie of identificati
a - f Public -Siete of IF 1rrid
P. duced fra �._---r-,5530niIIGG948211
e=ruary 24, 2024
of Watary Public- State of Florida)
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