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Home My WebLink Aboutapplicationi All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 Residential X PERMIT APPLICATION FOR: Stemwall ............ ........................ .. ...................... ..... .......................... ............................................. ................. .... ... . . .... . ..... ............... . .. .. .. .... . ............................. ................................ .... ............................. .. . . . ................................ ...... .................. ................... ....... ... .............................. .......................... Address: 12174 Riverbend Trc Property Tax ID #: 4422-502-007-000-8 Site Plan Name: Bay St. Lucie Lot ##3 Project Name: 12174 Riverbend Lot No. 3 Block No. Name FOUNTAIN PLAZA INVESTMENTS Name: GARY MARTINEZ Address: 737 SW PORT SAINT LUCIE BLVD. Company: QUALITY CONSTRUCTION CONCEPTS LLC City: PORT SAINT LUCIE State: Address: 4385 SW SHADD STREET Zip Code: 34953 Fax: City: PORT SAINT LUCIE State: FL Phone No. 772-873-0545 Zip Code: 34953 Fax: E -Mail: NOEL@QUALITYTSI.COM Phone No 561-629-6421 Fill in fee simple Title Holder on next page (if different E -Mail GARYQCC@GMAIL.COM from the Owner listed above) State or County License .CRC1332581 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. 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 pemnkwill authorize the ermit holder to build the subject structure which is In con ict with any applicable Home Owners Association rules, bylaws or an 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 ofiCommencement. Signature c of0 ner/Lessee/Contractor as Agent for Owner SI n ture of tractor/U rise Holde STATEOFFLORIDA STATE O7LORIDA/ COUNTYOF ST• 4. 1'iQ DESIGNER/ENGINEER: X Not Applicable . MORTGAGE COMPANY: x Not Applicable Name: this I dayof sCfore. S. A 2020 by Name: A&P L. /—C2e Z.6A2s�— Address: Name of person making statement. Address: Personally Known_ ORPrciducedidemilication City: State:_ City: State:_ Zip: Phone Zip: Phone: ,e;:7w•,, OSMEL VALDES FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name' REVIEWS Address: ZONING Address: PLANS City: SEATURTLE City: Zip: Phone: REVIEW Zip: Phone: REVIEW 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 pemnkwill authorize the ermit holder to build the subject structure which is In con ict with any applicable Home Owners Association rules, bylaws or an 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 ofiCommencement. Signature of0 ner/Lessee/Contractor as Agent for Owner SI n ture of tractor/U rise Holde STATEOFFLORIDA STATE O7LORIDA/ COUNTYOF ST• 4. 1'iQ COUNTY- J7 Lrncle Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Z Physical Presence.or - Online Notarization _' Physical Presence or Online Notarization this I dayof sCfore. S. A 2020 by this Ab dayof AktjUrTT .2020 by A&P L. /—C2e Z.6A2s�— fVl Al Nt2'. Name of person making statement. Nameofperson making statement. Personally Known_ ORPrciducedidemilication Personally Known, OR Produced Identification_ Type of Identification Type of Identification Produced Pr uc ) ,e;:7w•,, OSMEL VALDES U „�^�.,,. (Signature of Notary - I _ o one .y on M GG 358648' .(Signature of NotaryP t 6f VMS' blic-Stare of Marids My Commission Expires Commission N4 f+ M08111 8, 2023 .. - omml Bion MOG 368648 Commission No. (a6 3 C y M Cpm aelen E% I red l7g( 58230 REVIEWS FRONT ZONING SUPERVISOR-- PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED rsev, o/o/m