HomeMy WebLinkAboutBuilding Permit Application 11-21-200
All APPLICABLE INFO MUST BE COM
Date: 9/ 0 1? 07). 94.
ST. L(.ICIE
CO o NTH p R r
FOR APPLICATjON TO BE ACCEPTED
Permit Number:
Building Permit Applicatio
Planning and Development Services
Building and Code Regulation Division Commercial X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Galleria Development
PROPOSED IMPROVEMENT LOCATION
Address: 360 Baraclough St
Property Tax ID #: 3403-802-0024-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
, [7�-�--
5 E P �, '! 2020
Perm ii:dlilicj Departmen
St, Lode C;ountyf FL
Lot No.2
Block No. 12
Interior Renovations \ 1
W
r
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additi al work to be performed under this permit —check all that apply:
_Mechanical Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric L/Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $A -7r 1Z0 • O Q
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
;OWNER/LESSEE:
CONTRACTOR:
NameSavanna Concierge
Name:Devin Wheaton
Address:1239 Alton Road
Company: Treasure Coast General Contractors, LLC
City. Miami State: _ 'Address:1720
Copenhaver Road
Zip Code: 33139 Fax:
City: Ft..Pierce State: FL
Phone No.
Zip Code: 34945 Fax:
E-Mail:
Phone N0772-201-5426
Fill in fee simple Title Holder on next page ( if different
E-Mail treasurecoastgc@gmail.com
from the Owner listed above)
State or County License CGC1 526542
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.
\__
SU PPLI
DESIGNER/ENGINEER: _ Not Applicable
Name: I . r
Address: 12 35 An A Qe .k
City: V er0"&0'Ct'. State: fiL
Zip: V, 1045 Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
_ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: 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 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 lenderw an attorney before commencing work or recording y ur Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
OF 6 t 1
STATE OF FLORIDA
� t/-L4.-C_
COUNTY - f ; c
COUNTY OF '� • <
Sworn (or affirmed) and subscribed before me of
Sworn (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this 1Nay of S, C- . 2020 by
this I (n!�—day of SPT=L— e— . 2020 by
Name of person making statement..
Name of person making statement. /
Personally Known OR Produced Identification ✓
Personally Known OR Produced Identification
Type of Identification
Type of Identification
0 %
Produced
Produced
C"0_1
au=��—
(Signature of Nota ublic- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. l36 '7�I (Seal)
Commission No. GG 2Ei72� (Seal)
REVIE
Colleen Sue
gmmie '
Hayes
n
SUPERVISOR
PLANS
Colie,
O1* Co
Expire
in Sue H e
&&4*rT0kEss
ANGROVE
REVIEW
REVIEW
I 031MMW
EVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20