HomeMy WebLinkAboutBuilding Permit ApplicationBuilding
Permit ��nn U^
~~V�UowoUU��� " ~-�0�n* "�8�U�nU
_ ''
0tign (MAR 2 0 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce pz 34982 St. Lucie CountY, FL
Phone: Fax: (77�)462'lS78 ��Dnr8�rCi�� X �������� |
' ---------- -'---------- U
PERMIT TYPE- Commercial Interior Repairs
Address: 8645 South U8 Highway 1, Port E8Lucie, FL34S62
PnopertyTax|D#. 3414'601-1012'500'6
Site Plan Name: CrownaP|aza
CrowneP|azo
Project Name;
Fill in 2-6'x7'openingsindemioewa|batweanundm8643and8G46
Lot Nu._________
Additional work to be performed u nder this pennit-checkaUthatapply:
' —Mechanical __GaoTank Gas Piping __Shutters Windows/Doors
Electric ' __Plumbing Sprinklers __Ge,nerator Roof Phzh
Total Sq. FtufConstruction: 1.500 .Sq. Ft. ofFirst Floor: 1'50OCost of Construction: $ 2,250 Utilities: —Sewer _Septic Building Height: 25 1
Name Crowne St Lucie Associates LP
Name: Thomes Rickert Miller,
Address" 8611 South US Highway 1
Company: TRM Construction Management, Inc
City: Port St Lucie I State:
Zip Code: 34952 Fax:
Address: 1512 SE Village Green Drive
City: Port St Lucie State: FL
E-Mail paul@trmcorpfi.com
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
State or County License CGC 024829
If value of construction is $2500nrmore, aRECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
` ��
a
SUPPLEMENTAL:CONSTRUCTION,LIEN"LAW INFORMATION: .
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: — Not Applicable
Name: Earthworks Group Name: \/,:, \ \-e, �4
Address: 7410 South US Highway 1 Add ress: Q Ch L Q s: q e i a.5- W awl
City: Port St Lucie State: FL City: r mti c1 t� C, M State: D!�
Zip: 34952 Phone 772-405-7871 Zip: P ne:7 pv-) — o $ - Zc.C„ ct
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 conflicttwith 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
.. ter. . u .rrnn��w o1rcnnc nr nnn1lue. i in Iun ricr nF f irimmm rFMFNT_70
I
Signature of Owner/ ssee/Contractor as Agent for Owner
Signat r Contractor/License Holder
STATE OF �A
STAT OF FLORIDA
COUNTY OF ,EFFE:RSc�
COON OF
The fo ing instru rg2nt wa acknowledgeqbefore me
20 4 by
The for oing instrurr;E,nt was knowledged before me
this day of 11 4'e' 20 / 9 by
this day of
/
Name of person mak'n statement.
Name of person making star ment.
� iJown OR Produced Identification
Personally Known OR Produced Identification
Type Identification
ypeS hication
of
PI(�d 4ceds •
Produced
(Signat of otary Public State of Florida )
SSignatur'aof iotary PuMc'- State
C �• otary Pu to of Alabama
`At
'Corn Qo. Alabama $3W1 Large
Commission N �+,;°°..... L J E
t'ii s �4� My Commission Expires
' �`^ Commission rF FF 964120
REVIEWS
FRONT
r
ZONING
2002 1
SUPERVIS
PLANS
V
F r 4,
kiVE
COUNTER
REVIEW
REVIE
REVIEW
IE
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tcev. L111ly
r,