HomeMy WebLinkAboutDCOTA PSL County Permit App.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
9�4o dMCOg
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7320 S US HIGHWAY 1
Property Tax ID #: 3422-134-0002-000-1 Lot No.
Site Plan Name: Block No.
Project Name: SOUTHEAST SPAS INC.
DETAILED DESCRIPTION OF WORK:
REMODEL AS PER PLANS SUBMITTED TO INCLUDE REMOVAL OF WALLS THAT ARE MARKED IN PLANS AND RELOCATE THE
ELECTRIC, REPAIR DROP CEILING, REMOVE AND REPLACE FLOORING.
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 _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 1540 Sq. Ft. of First Floor: 1540
Cost of Construction: $ 14,700.00 Utilities: —Sewer _Septic Building Height: / O
OWNER/LESSEE:
CONTRACTOR:
Name:DCOTA CONTRACTING INC.
NameGILES 7320 LLC
Address:2838 OKEECHOBEE BLVD
Company: DCOTA CONTRACTING INC.
City: WEST PALM BEACH State: _
Address:5051 45TH ROAD
City: LAKE WORTH State: FL
Zip Code: 33409 Fax:
Phone No.954-980-1142
Zip Code: 33463 Fax:
E-Mail:
Phone N0561-718-6565
Fill in fee simple Title Holder on next page ( if different
E-MailCHRIS@DCOTACONTRACTING.COM
State or County License CGC1508344
from the Owner listed above)
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: < Ni
DESIGNER ENGINEER: x"Not A licable r
_ PP ,MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: i Address:
City: State: City: State: _
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable I BONDING COMPANY: _Not Applicable
Name:
Name:
Address: _ Address:
City: 1 City:_
Zip: Phone: i ---
I ne: —_ 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 your Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for owner I Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF f "*1 I COUNTY OF ."On.-M 01be7 rC s$-
S7q n to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
// Physical Presence or Online Notarization r/ physical Preignce� or Online Notarization
this day of �C��b y . 2020 by this � day of >CC4( Mi" , 2020 by
AWAna n PsvNa-r
Name of person making statement. Name of person making Statement
I
Personally Known, OR Produced Identification,__ Personally K
Produced
OR Produced Identification
Type c Identification Type of Identification
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j ed Produced
i (Signature of ry Public- S
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RALPH LALCHAN E re of a ublic- State of EI
iyfj 3if s Votary Pubion # to of Florida �gpHoLALCHAN ECC
Gmmission p GG2i90Pn on No.:' B ublic-State of FI r' a
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E Aires .` Commission M GG 32i
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mmission No. il_3._242 ___ =5 my Commission Expi
REVIEWS FRONT ZONING 1 SUPERVISORPLANS VEGETATION ROVE
COUNTER REVIEW REVIEW I REVIEW REVIEW REVIEW REVIEW
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RECEIVED
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DATE -----
COMPLETED
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