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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: o g Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial X 'Residentiai 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 6585 North US 1 Property Tax ID#: 1406-131-0001 Lot No. Site Plan Name: THELMA MOTEL LLC Block No. Project Name: Unit 5 DETAILED DESCRIPTION OF WORK. REPLACE (3)SINGLE HUNG WINDOWS New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters X Windows/Doors _Pond Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: 209 SQ. FT. Sq. Ft.of First Floor: Cost of Construction: $ 420.00 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR, NameTHELMA MOTEL LLC Name:JOSEPH M MOHR Address:465 RUSSE ROAD Company:MOHR DEVELOPMENT GROUP, INC. City: FT. PIERCE State:_ Address:207 EAST MAGNOLIA STREET Zip Code: 34946 Fax: City: ARCADIA State:FL Phone No.772-473-1518 Zip Code: 34266 Fax: E-Mail: Phone No863-244-9008 Fill in fee simple Title Holder on next page(if different E-Mail RWILLIAMS@MOHRDEVELOPMENTGROUP.COM from the Owner listed above) State or County License CGC1 514901 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION- DESIGN ER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name:RONALD J.LEDER Name: Add ress:4316 FOXGLEN LANE Address: City: TAMPA State: FL City: State: Zip: 33624 Phone613-455.6787 Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: 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 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 paying twice for improvements to your property.A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing,consult with lender or an attorney before commencing work or recording our Notice of Commencement. 1�q':l . 4 Signature of Owner/Lessee/Contractor as Agent for Owner n re of Contractor License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization �/ Physical Presence or Online Notarization this day of 2020 by this3'^ day of 2020 by J e�r•��^ M M.off � , Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known Vz OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Commission No. (Seal Commission No. ;'o'P"..Ue�,, Rhonda 84wilms emission#0G©78752 ,,OrF-�;' + Sodded thr qq��ro }l��j REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAT& SEATURTLE- AWGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.5/6/20