HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE
Date:
1-1
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PLETED FO¢t APPLICATION TO BE ACCEPTED ))
Permit Number:
Building Permit Application
DEC 2 0 2011
I., s
Residentla'fie CA ty, FL
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 'X)C-)( Mach One Dr. 00 mcw of r
Legal Description: Aero Acres Blk.1 Lot 4
Property Tax ID #: 3215-801-0011-000-8
Site Plan Name: Busby Hangar
Project Name: Busby Hangar
Setbacks Front .5 0 ' Back: Right Side: Z LeftSide: 135.1
DETAILED DESCRIPTION OF WORK: .
v a f d o dtAko- I
Lot No. 4
Block No. 1
I CONSTRUCTION INFORMATION: I
E1HVAC Lhas Tank
11 Electric II Plumbing
Total Sq. Ft of Construction: 3600
Cost of Construction: $ 35,000
in — cnecK an fnar apply:
Piping Ll Shutters Q Windows/Doors
nklers 0 Generator 0 Roof Roof pitch
_ S Ft. of First Floor: 3600
UtilitiesSewer El Septic Building Height: 18'6"
OWNER/LESSEE:,
CONTRACTOR:
Name Tot V, t'-s'� A L g� °)
i, Address: 701 ��� i r'1 800 k— c'-
Name: Wil Hicks
Company: Critical Path Construction
Address: 2546 Westchester Dr.
City: Riviera Beach State: FL
Zip Code: 33407 Fax: 561-848-0781
Phone No. 561-863-2226
City: pt/4- S Lv e_i"� State: FL
Zip Code: 3 I7 7 Fax:
Phone No. S�v/ `' %%�''�O�
E-Mail: 142M i 8
Fill in fee simple Title Holder on next page ( if different
E-Mail: critical.path@att.net
State or County License: State
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
S-UPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
. MORTGAGE COMPANY: Not Applicable -
Name: fle
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Applicable
_j)(_
Name: NIA
_Not
Name: PIA
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 vAth 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
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 vour Notice of Commencement.
s
Signature of O er/Lessee/Contractor as Agent for Owner Signature of ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDAn �^
COUNTY OF_:S-i` l,UC,[ l' COUNTY -OF !Mm
The forgoing instrument was acknowledged before me
this i-a day of i�yecgM b--�(- 20 Llby
(Name of person acknowledging)
I Jmo A J(N /L_�� -
of Notary Public- State of Florida ) /
V
The forgoing instrument was acknowledged before me
this jlq_ day of �c _eb2r . 20 I —+ by
G" ► eX Arlo��l -hi GIG-<
(Name of person acknowledging
"q,
(Signature of Notary P blic- State of Florida )
Personally Known OR Prod uf� d Identification Personally Known OR Produced Identification
Type of Identification Produced (Z17 L Type of Identification Produced 'H— 1)1Z UC
Commission No.
Revised 07/ 1 S/2014
MELISSA L SULLIVAN
NOTA ObBLIC
STATE OF FLORIDA
Expires 3/22/2018
Commission No. V 9�) (Sea
ANGELA SOTO•IRELAND
Commission# GG 145370
My comm. expiros Oct. 21, 2021
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