HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: ��7.070q
RECEIVED
9 r. RECETVErr,
IFoA11r, Mv, f""M� AUG ®.3 1020
Building Permit Application Permitting Department
Planning and Development Services Perm9n649i;19R4Mtst. Lucie County
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:AFTER THE FACT
"PROPOSED IMPROVEMENT LOCATION:'
Address: Address: 210 E. ARBOR AVE. PORT ST LUCIE FL. 34952
Property Tax ID #: 34
Site Plan Name: RIVE
1-0041-000-2
PARK -UNIT 1 BILK 4 LOT 8 (MAP 34/22N
Project Name: AFTER THE FACT
DETAILED DESCRIPTION OF WORK:
LEGALIZE GARAGE CONVERTION & PATIO ENCLOSURE DONE WITHOUT A PERMIT
New Electrical Meter NO Second Electrical MeterNO
;CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Lot No.8
Block No. 4
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 520
Cost of Construction: $J7,5M , ll�
Sq. Ft. of First Floor: 520
Utilities: -Sewer —Septic Building Height:
DOWNER/LESSEE:
CONTRACTOR:
Name Yf e6a ►- IYe✓// Z•� �-
Name:JULIO C FORERO
Address: /�
Company:Emporium Construction Corporation
City: State: _
Address:1249 SW SANTIAGO AVE
Zip Code: 3 11'51!5�Z Fax:
City: PORT ST LUCIE State: FL
Phone No. 3 0.6 7 a
Zip Code: 34953 Fax: 7728716459
E-Mail:
Phone N05619296887
Fill in fee simple Title Holder on next page (if different
E-Mail info@remporium.com
from the Owner listed above)
State or County License CGC 1514089
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.
SUPPLEIUIENTALCONSTRLICTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: , Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
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 attornev before commencing work or recording vour Notice of Commencement.
Signature f Owner essee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF C� I
Sworn to (or affirmed) and subscribed before me of
P sical Prese ce r Online Notarization
thi day of 2020 by
of Contractor/License Holder
'ATE OF FLORIDA
)LINTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of .2020 by
Wenkl 4P(06A&
Name of person making statement. Name of person making statement.
Personah Known OR Produced Identification X Pe rs Wally Known OR Produced Identification
Type ofJIdl Dttifi,5;atigA-;,,, , . C—Ae pe f Identification
O0N_.MN State
r(Signure of ota Public- State f O ' �a� Co��m� exp,�eso� ature of Notary Public- State of Florida )
\` 2 Z c.Ay �°gym.
Commission No. 3 I),.. Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/u/ Lu