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HomeMy WebLinkAboutBuilding Permit ApplicationC r.1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Almn Date: PermitNumber: �CJiJ RECEIVED 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 PERMIT TYPE: PROPOOD)MP.ROVEMENT;LOCATlON, OCT 3 0 1919 Permitting u ct. ticie Address: Q"qLl n 5 ©//CAZ` b1Z . �"rJS�'+J �Gh -Z. 3�Lc1Jq . Property Tax ID #: "14 — .SZ i> -- DO©i — 000 /isi Lot No. LS"rPtjB Site Plan Name:`` �3�tf GLV (b 6 �/ LD a PH it Block No. 11U Project Name: V (Q7P<v-) A ' &_91,C 3. :DETAILED DESCRIPTION OFWORK' '70- 20 6 203-,9, 0 8 _91 ai,. `lh �06_� SZO , 7o3— -to 9-10 , &3-ro 410o 5'Oy To 6-/04 zeo&- To b- f O 301Y ► a�/ O Mzo� Z©J- Ta 2l0 CONSTRUCTIONINFOR(VIAT(ON. Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $-, Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE CONTRACTOR.° Name CJ 0 P,4 D Name: Cesar Castillo Company:Alenac & Associates Address: 6b2 S d ! City: pip State: Zip Code: ?j Z 8 (� Fax: Phone No. E-Mail: Address:1300 W industrial Ave Ste 4 City: Boynton Beach State: FL Zip Code: 33426 Fax: - Phone No954-934-3159 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail info@alenac.com State or County License CGC1 525768 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. SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: J 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 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 TOR INANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIIC NC ENT." 1 W�( . Signature of Owner/ Lessee/Contractor as Agent for Owner Signature ntractor/License Holder STATE OF FLORID COUNTY OF >�� YV'1 ft'-)C� STATE OF FLORIDA COUNTY OF ryl The forgongi,ng instrument was acknowledged before me this PWcray of OCTO&U-Ir— , 20 1° by The forgoing instrument was acknowledged before me this-h-ay of O(XobC—a— 20_M by C'tSct ✓ C.25r1 l D C'& S -111 O Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced 1) tduced Personally Known OR Produced Identification Type of Identification �1. L SANDRAECHEVERRY MY COMMISSION # FF 985963 EXPIRES:Apri125,2020 ;� •Oe (Signature oQNotaAPubli 'r'P"•., SANDRAECHEVERRY A. �~es;��• '� •���= MY COMMISSION # FF 985963 EXPIRES:Apd125,2020 ;�•�,. No" Public Und ler gnature of N ary Pub is f ' Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 7 1