HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COINIPLe F06t APPLiCATiQR)30 BE ACCEPTED
Permit Number:
9 1So Ll� CM ~�� �•`6�e, C O�tj� RECEIVED
10.
:` '- Building Permit Application
MAY 0 4 2021
Planning and Development Services R rmitting Department
St. L�{cie County
Building and Code.RegulationDivision commercial Residential .
2300 Virginia Avenue,Fort Pierce FL34982 ,
Phone:.(772)462-1553. Fax:(772)462-1.578
PERMITAPPLICATION FOR:ATT NTION:V ILLIAM
PRQROSEDNPFtO�IEfi�I[�N1'LOGAT�O�+tr � �y������ �. �.�� 'X°� ._ .�g� ^�.� �` �4�,.',�.
Address: 6585'NORTH US 1
Properly Tax ID#: 1406-131-0001 _ _. .. Lot No. .
Site Plan Name:THELMA MOTEL,LLC Block No;
Project Name: UNIT 5
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ALTERATION 2(AFTER THE FACT) 1(1
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New Electrical Meter.Second Electrical Meter
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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: Sq.Ft.of First Flom .
Cost of Construction:$ r`}00 Utilities. _Sewer Septic Building Height:
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NameTHELMA MOTEL, LLC Name:JOSEPH M MOHR
Address•465 RUSSE ROAD Cornpany:MOHR.DEVELOPMENT.GROUP,INC.
City: FT.PIERCE State:_ Address•201 EAST MAGNOLIA STRi±ET
Zip Code-'34946 Fax: City:ARCADIA State:FL
Phone No.772473-1618 Zip Code: 34266 Fax:
E-Mail: Phone N0863-244-9008
.Fill in fee simple Title Holder an next page(.if different E-Mail RWILLIAMS@MOHRaEVELOPMEINTGROUP.CQM.
from the Owner listed above) State or County UcenseCGC1514901
if value of construction is.2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC Is$1,500 or more,a RECORDED Notice of Commencement is required.
DESIGNER%EfVGIIdEER. Not Applicable .MORTGAGE -Not Applicable
Name:_Rotuuo j.cEOER Name:
Address:431s eoxoLEN LANE Address:
City:;TAMPA State: PL City: State:
Zip:3M4 Phoneet3-as5-67a7 Zip-, Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not.Applicable
Name: Name:
Address: .. _ Address: A
City; City
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is.hereby made to obtain a permit to do the work and installation w indicated,
I certify that no work or installation has comrnericed.prior to the'issua ice of a-permit.
St.Lucie County makes no representation that is granting a permitwll authorize the.perintt 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 ofthis 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 permitapplications 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 yourproperty.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
wit witV lender or an attorney beforezornmencing work or recording our.Notice of Commencement.
AL L .'16e
S' tire of'Cli net/Lessee/Contractor as Agent for Ownerre of Contractor/License`Holdery
ATE OF FLORIDA. STATE OF,FLORIDA
COUNTY OFeEsoTo COUNTY OFnEsoro
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed su.)and scribed before me of
X Physical Presence or Online Notarization X Physical Presence or Online Notarization
this,3KH day ofAPRn.zort ,Zth'8'by this 30TH day cf APRlLzazt by
JOSEPH.M.MOHR JOSEPH M.MotiR _
Name Iof person making statement. Name of person making statement.
Personally known OR Produced Identification X Personally Known OR Produced Identification X .
Type of Identification Type of I entlfication
Produce 171.131-#M606-493466.36" Produce 'DLM600493.6S3s&.o
{Signature of'Notary Publi (Signature atary Public-5 0 F a
GABRIELA BONVILLE .. .
Commission No,
:%`,. �� No P tit State of Florida c+RY>i GABRIELA BONVILI.E'
o. S,oR p GG 2357.33 'Commission NO. /`�, : >(!& jt�ublic-State of Florid
orrr� .My comm.Expires Jul 8,2D22' ,,�`�1L tee" Commission> GG 135733
National Notary Assn, orn„ My.Comm..Expires.JutB;20
Bonded thro gh.National Notary Ass .
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION. S A.
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE ..
COMPLETED
eY.516/20