HomeMy WebLinkAboutBuilding Permit Application i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED h
,Date: Permit Number: /7( 165' ��-]
[LUCUE
p L 1F ° 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: Demolition
PROPOSED,IMPROVEMENT LOCATION w ."
Address: 8555 S Commerce Centre Dr, Port Saint Lucie. FI 34981
Property Tax ID#: 3327-805-0001-000-.1 Lot No.33/27s
Site Plan Name: Baron Academy Block No.
Project Name: Baron Academy
tDETAILED DESCRIPTION OF WORK °`;
Demolition of some interior walls for future relocation, Disposal of Debris
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New Electrical Meter Second Electrical Meter
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CQNSTRUCThON fNFORMATION
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: 200 approx 10'x20' Sq. Ft. of First Floor:
Cfost of Construction: $ 2000.00 Utilities: —Sewer —Septic Building Height: 20'
aOWNER/LESSEE .. ' CONTRACTOR:
,NameCommon Wealth Trust Services LLC Name:Kenneth I. Lippard
Address:122 E Lake Ave Company:Lippard Construction Inc.
,City: Longwood, Florida State:_ Address:1200 Driftwood Lane
Zip Code: 32750 Fax: City: Fort Pierce State:Florida
:Phone No.772-286-5744 Zip Code: 34982 Fax: 772-465-6739
E-Mail:jmorales@commercialrealestatellc.com Phone No772-370-7548
Fill in fee simple Title Holder on next page(if different E-Mail lippardconstruction@comcast.net
jfrom the Owner listed above) State or County LicenseCGC1515384
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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.
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SUPPLE:MENTAL�CONSTRUCTION,.LIEN LAW INFORMATION
!DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
;City: State: City: State:
Zip: Phone Zip: Phone:
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-FEE SIMPLE TITLEHOLDER: _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.
(Signatu o 4--essee Con a or as Agent for Owner Sign ure o ontractor ice e r /
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"STATE OF FLORIDA I STATE OF FLORID ��
COUNTY OF �71'. LU (A lb COUNTY OF b"G Jel
Sw� to to(or affirmed)and subscribed before me of Swvn to(or affirmed)and subscribed before me of
V Rhysical Presence or Online Notarization Physical Preece or Online Notarization
(this . day of 2020 by this,4�day of 2020 by
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Name of person makings state nt. Name of person making tatem n .
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Personally Known I�' OR Produced Identcation Personally Known OR Produced Identification
cation Type otifi
cation,Type
Pro uc Pro c hL ii,e McLa hlin
(SiKaturi of Notary Public-S Siignati of Notary Publicm.e.04ftuuE MaauGHUN JULIE MCLAUGHLIN
J:'tY Poe
Not�arv.Public-State of Florid ?% �`a�^ Notar Public-State of Florida
;Commission No. �yo (SeE4S)nmission GG 341551 ommission No. a~ o`s Ccdl)n=GG 341551
oFe,?E` My Comm.Expires Jun 4,202 oF�°` My Comm.Expires Jur 4.2023
Bonded through National NotaryAss . Bonded through Nationa:Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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COMPLETED
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