HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: Z00 J
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: P&,y 1 Del&I D�- E-X 1Sf i ng
PROPOSED IMPROVEMENT LOCATION:
Address: 501 W Weatherbee Road
Property Tax ID #: 3403-502-0014-000-8 Lot No.
Site Plan Name: Block No.
Project Name: �i,�ll�l ►tlWwl D ✓t 6TY-Du--P L-L-L
DETAILED DESCRIPTION Of WORK:
0 ✓P S-1 y'I,t-�t�- VwvV LD v1 C, r -Y_ n-I VVGt,A -f -o TV%1"__1r
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CONSTRUCTION INFORMATION: 4
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_✓Electric ✓ Plumbing _ Sprinklers Zirst
Generator
Total Sq. Ft of Construction: � Sq. Ft. Floor: _
Cost of Construction: $ Utilities: Sewer _ Septic Building Height:
Windows/Doors
_ Roof Pitch
611
OWNER/LESSEE:
CONTRACTOR:
Name'Bally Bunion Group LLC
Address:8721 Bally Bunion Road
Name'. C` -4-tN q T-f/I ''s-e-
Company: `i"e/W§-e,- e?JA ld1f;�
City: Port St. Lucie State: ��
Address: 8060 Spendthrift Way
Zip Code: 34986 Fax:
City: Port St. Lucie State: FL
Phone No. 772-201-2463
Zip Code: 34986 Fax:
E-Mail: Gary@soflalum.com
Phone No 772-260-4889
E-Mail Josephtelese@bellsouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License UIC 154-2-1S4-
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: _ Not Applicable
Name: rxuk vv"&k
Address: ttg64 Svy 61"OY-e- s- 1/4
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: Ps I, Stater
Zip: 70167- Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 YOUR PAYING
TWICE FOR IMP NTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POS O E JOB ITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
H Y LENDER AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
_Za
eA� A -r-e/w-i
Signature of Co actor/License Holder
ignature of er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA /
COUNTY OF � -, 4,y &I
COUNTY OF �7- (—V C t I
for
The g instrument was acl owledged before me
The f r instrument was knowledged before me
this ay of / 20_ by
this day of 20&1
Name of per on making stat ent.
Name of p rson making st ment.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
.4at�', 'L.1—A
6L —)i
(Signature of
(Signatur
MARY ANN MATONTI
; o<Y °�'`• MARY ANN MATONTI
n` Notary Public - State da
Commission <' mmtssian GG 938I
:r �:� 1
;�' Notary Public State of Flo
Commissi ;� • <s
`oF
My Comm. Expires Jan 24, 2024
GG 93839
„ r�°°'` My Comm, Expires Jan 24, 2024
REVIEWS
SUPERVISOR
PLANS VEGETATION
SEA TURTLE MANGROVE
FRONT
ZONING
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19