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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/25/2016 R E C E I V EID APR 11201,grmit Number: 1410-0401 WARNED �gLf�ij 1p Qermit 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 PERMIT APPLICATION FOR: To Select fromldropbox, click arrow at the end of line PROPOSED LIVIPROVEM,ENT LQCATION f Address: 8630 US Hwy 1, Port St. Lucie, FL 34952 I Legal Description: See attached I de,�ela c © rp1C_ �,o2+ ac,"s r�G(o�4' � Go,15prU�� � C) �- CA, �� Sit 2 spy �on� ,' � s -Ce iCONSTRUCT;aON ,INFORMATION Additions work to b�orme un er t is per it - c ec a t at app y: ®HVAC Gas Tank aGa Piping Shutters Windows/Doors U Electric [_ Plumbing � Sp inklers � Generator Roof Total Sq. Ft of Construction: stoZ� Sq. Ft. of First Floor: S -1 oZ 2( r Cost of Construction: $ �T6, 000 69z Utilities: 9sewer Eleptic Building Height: i OWNER/LESSEE i. :. J CONTRACT R Name kt-f-C r't'eAi_ Name: Jason Mulligan Address: 3e3k�Z5 Cu kr� (eAKJ 4uP IC6 Company: Mulligan Constructors Inc. JL5z� City: r3c'��r�.•-�`�� State: C24 Zip Code: 3 63 ,�,O\ Fax: I Phone No. � 7 (7—LF3 I '7C�DC� I Address: 3601 Vineland Rd., Ste. 14 City: Orlando State: FL Zip Code: 32811 Fax: 407-654-7597 Phone No. 407-654-6523 E-Mail:l-�Dlr DJVAp rae_ec(-cze_. C-6" Fill in fee simple Title Holder on next page (i different from the Owner listed above) E-Mail: Jmulli an 9 @mulli 9anconstructors.com State or County License: CGC1510462 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SU.PPLEIVIENTAL CQNSTRUCT101� UEN LAW INFORMATION DESIGNER/ENGINEER: _ Not Applicable Name: Hill Foley Rossi B Associates MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: 3680 Pleasant Hill Rd., Ste. 200 City: Duluth State: GA Zip: 30096 Phone: 770-622-9858 City: State: Zip: Phone: I I FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: City: 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 with your Home Owners Association zcl review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do Ireby 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 Notic I of Commencement may result in your paying twice for improvement to your property. A Notice of Commencement must be recorded and posted on the jobsite before the firft inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Com encemeht. _ Signature of Owner/ Lessee/Agent STATE OF fat COUNTY OF The forgoing instru ent was acknowledged before me this —2a day of Mare,0 , 20 .&by 1 I I ► ay (Name of person acknowledging ) re of Contdactor/License H STATE OF FLORJPA COUNTY OF Y )rgn01R_— The forggjng instru ent was acknowledged before me this ff74day of YGI% 20 _Ifo by Iorn (Name of per;on acknowledge ) ([Signature of Notary Public -State of-r-�) ��, Personally Known OR Produced Identification Type of Identification Produced of NotaA Pudic -fie of Florida ) Aly Known ':Z� OR Produced Identification of Identification Produced Commission No. �SrTE � p BU�M16V mmission aOGICDALE GOGIA 20 &,r OF ' eo- A oust 16, 11 — 9 rnlsslon ExP Revised 07/15/2014 ItCcm =--JryNIEBACH '-- My COMMISSION 8 FF 015887 Bonded Thru Notary 0 REVIEWS FRONT ZONING SUPERVISOIF PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS