HomeMy WebLinkAboutAPPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: ___ - -
Build Ing permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT TYPE-
' PROPOSED IMPROVEMENT LOCATION; _ -J — — -- ----- --
Address: 10753 S US Highway One Port St. Lucie, FL 34952---
Property Tax ID #: 3414-501-5004-300-4 _- _ Lot No. -- __-
Site Plan Name: Block No.
Project
DETAILED DESCRIPT ION,O1= WORK:
Interior Demolition
- I
CONSTRUCTION INEORMATION:,��^T...-----
Additional work to be performed under this permit —check all that apply:
Mechanical — Gas Tank — Gas Piping — Shutters
Electric — Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 15,000 _
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: ! Sewer _ Septic Building Height:
OWNERJLESSEE:
'lame 10753 S US Highway 1 LLC
Address: 701 S Colorado Ave _^
I City: Stuart _ State: FL
Zip Code: 34994 Fax: 772-405-1022
Phone No. 561-818-8987_-
i E-Mail: pralvarez@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
uONTRACTOR --- -
Name: Joseph White
Company: Exceptional Builders _-_--________._-____—__...�
Address: 110 Front St #E300
City: Jupiter _State:_FL
Zip Code: 33477 Fax: 772-405-1022
Phone No561-262-0730
F Mail dg@exceptionalbuilders.com - ---
State or County License CBC 055308
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.
i �Y,L trONNSTC VC S §L3sr i S�SV :�i�� IIV I��SCS�� t I iGl1Y:r
DESIGNER/ENGINEER: �(JOL-NJPiii i dt. MORTGAGE COMPANY:
Name: Name:--
. - - -
Address: Address:
City: _- Sr_ lg : - City: -
Zip: Phone - Zip: P one:-,-
1=EE SIMPLE TITLE HOLDER:
Name: _ ..
Address:
Citv:
Zip: Phone: ---.-
— Not Appiicable
BONDING COMPANY:
Name: ----
Address. .
rii %,
Zip: _ Phone:
Not Applicable
State:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby rnade 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 r10 representation that is granting; a permit will authorize the permit holder to build the subject structure
which is in can,lict with any applicable Home Owners F1sSoaation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your need for any restrictions which may apply.
in consideration of the granting of this requested permit, 1 t!o hereby agree that I ::iii, 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 r-oncurrency 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 308 SITE BEFORE :..�
T!1E F!RST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
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WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOkDi%� bni rrt NOTICE OF COMMENCEMENT."
_---•_—�
�/ ^< � t lur Owner Signature of Co��t»t:tor/i.icerue Holder' -
Signature of Oivnerf Lessee., Contracto�as .,utn
STATE OF FLORIDA
COUNTY OF Palm Beach
The forgoing insfrume.nt was acknowledged before me
this 20 day of May _-- 20 21_ by
Ramon Alvarez
Name of person making Statement.
Personally Known X OR Produced Identification
Type of identification
Produced —
(Signature of Notary Public- State or viorida j
i Commission No. (Seal)
STATE OF FLORIDPalm Beach
COUNTY OF____ _--_
The forgoir)g; iristrurzent eras °cki}owledtcd before me
this 20 day of May 2021 by
Joseph M. White
Name of person riaking statement.
Personally Known _ X OR Produced Identification
Type of identification
Produced
(Signature of Notary Public- State of Florida I
Commissior No. (Sea!)
REVIEWS
i IrRONT ZONING SUPERVISOR
PLANS VEGETATION SEAT RILE MRAN GE OVE 1
R[ /IEW
COUNTER REVIE':V REVIEW
REVIEW
i
DATE
_.
RECEIVED
CQMPI.ETED
�- - - -- - -
f�e��?7T%1�
,`•�► DARREN R. GOLDSTEINI
=.; COMMISSION# HH 045506
EXPIIRES::January22,,202
EXPIRES: Ja nuarry22,2025
p nded hru Notary
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