HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -001-0
Date: ' I 'c Permit Number: / gy u
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Building Permit Application
Planning and Development Services �e I� / O�
Building and Code Regulation Division T
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Building
Address: 6501 S. Ocean Drive, Jensen,Beach Florida
Legal Description: 6w9/151161Z1223641 MFRACTS SEC BAND 91-YGWOWA LESS N436.71 FT AND ALL FRAC SEC DLYGEAST OF AIA LESS NORTH 73631 FT AND ALL FRACT SEC 16 LESS AS IN
OR 345.2123 AND OR 4DO.2820- FRAG SEC 17 LESS A1A AND THAT PART OF FRACT SECS 21 AND 22 LYG N OF LI THAT IS 9043.31 FT N OF S LI OF SEC 27-LESS AIA-(591.70 AC)
Property Tax ID #: 3508-111-0002-000/3
Site Plan Name: '
Project Name: 13-11 In processing, Medical and Training Facility
Setbacks Front NIA Back: N/A
Upgrade of existing Concrete Slab and
Right Side: NIA Left Side: N/A .
roof drains. Installation of Metal Frame
Lot No.
Block No.
r-) A . 1/6 ^,s D.n — 1A 10 01 ABC \�> /_ .A /. A -A,, I '47VY <V�A10. 1j AA6C1' 1 A ,r-1
Additional work to be nertormea unaer
CIHVAC []Gas Tank
0 Electric 0 Plumbing
Total Sq. Ft of Construction: 15,000 sq. ft.
Cost of Construction: $ 900,000.00
Name Florida Power & Light Co.
Address: 6501 S Ocean Drive
p@rrnIL—GIIecK an dNNIY•
3as Piping _ Shutters Q Windows/Doors
Sprinklers 0 Generator Roof
So. of First Floor: 15,000 sq. ft.
Utilities: 0Sewer FSeptic Building Height: 101Cable
City: Jensen Beach Florida State: FL
Zip Code: 349572041 Fax: N/A
Phone No.1-772-467-7473
E-Mail: robert.wdght@fpl.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: John Holtzworth
Company: Day &Zimmermann NPS
Address: 1827 Freedom Road
City: Lancaster State: FL
Zip Code: 17601 Fax: n/a
Phone No. 772-532-0592
E-Mail: Bob.O'Donnell@FPL.com
State or County License: CGC 1521829
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: No Not Applicable
Name: Day&zimmer —
Add ress: 125 The Parkway Suite 101
City: Greenville State: so
Zip: 29615 Phone: 864-241.6746
FEE SIMPLE TITLE HOLDER: No Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: NO Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: No Not Applicable
Name:
Address:
City:
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is C co tt 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 your paying tuvice for
improvements to your property. A Notice of Commencement must be recorded 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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Type of Identification Produced p
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Type of identification Produced
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NOTARY PUBLIC ID 498685
Commission Expires October 6, 2017
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