HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONrEm
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED \c%Cj 5- Oro 'J
Date: SCANNED Permit Number:
BY
St. Lu6ie CounW
Building Permit App
Planning and Development Services ,
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commer�ial
PERMIT TYPE:
'0W(50bSEb IMPROVEMENT LOCATION:
11 15354 Navion Drive Port Saint Lucie, Florida 34987
Property-rax ID #: 4224-501-0098-006-A
Site Plan Name: Treasure Coast Airpark
Project Name: Larry Aitkens' Office
Additional work to be performed
an
under this permit- check all that apply:
AMechanical Gas Tank
K Electric D( Plumbing
Total Sq. Ft of Constructiom. 508 SF -
Cost of Construction: $ Est $15,000
Residential
Lot No.98
Block No.
— Gas Piping — Shutters . —Windows/Doors
Sprinklers — Generator — Roof —
Sq. Ft. of First Floor: 959 SF Apartment
Utilities: —Sevver _Septic Building Height:
Pitch
'0WNER/LtSSEL".
CONT RACTOR:
Name Larry AitKens
Name: Uwner builcier
Address: 15354 Navion Drive
Company:
City: Port Saint Lucie State:
Address:
City: State:
Zi 34987 Fax:
P,
Phone*�No.
Zip Code: Fax:
Phone No
E-Mail . I m JaWe-n-s @ g-m-a-lUco m
Fill in fee simple Title Holder on next page if different
E-Mail
from the Owner listed above)
State or County License
I
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.
,(< ,- 1
6
SUPPLEMIENTAL CONSTRUCTION - LI I EWILAW INFORMATION: --
DESIGN ER/ENGI NEER: —NotApqlicable MORTGAGE COMPANY: n�4 NotApplicable
Addr%s,tSe4 bVV bclutre ionnS Lane I I Address:
City: Im City State: FL city: State:
Zip: Phone t3uut:), Zip: Phone:
1EE SIMPLE TITLE HOLDER: p4, Not Applicable BONDING COMPANY: -AIN ot Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: — Phone:
OWNER/ CONTRACTOR AFFIDVIT: Aciolication 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.
StAucieCoun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
%ct with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such
which is in co 1 1 9
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 IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SFFE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER 00 AN AT'FnRNFY RFFnRF RIFIDORDING YOUR NOTICE OF COMMENCEMENT."
Signatuff of OW9e'r/, tessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE: OF FLOR�DA
STATE OF FLORIDA
COUNTY OF DaA&
COUNTY OF
The fo ing instryugent was acknowledged before me
The forgoing instrument was acknowledged before me
thisudayof MCk 20A by
this _ day of 20_ by
Name of person making statement.
Name of person making statement.
Personally Known oduced dentification _
Personally Known OR Produced Identification
Type of Identification AV,
IRIWA VAZQUEZ
Type of Identification
Produced
Produced ....
IV' T �UMMISSIO
""T M SS 11 # FF982974
A X`FMR,1, ilo,1
EXPIRES 1 23,2620
(4D
AAA PAL
(Signature of Not�ry Publid`State of Fl idh
(Signature of Notary Public- State of Florida
(),, qu
Commissionuz-FE C062A (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. Z/ // 19