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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1W r, ALL APPLICABLE INFO MUSTgfT YQMPLICATION TO BE ACCEPTED -o33L Date: SCANNED Permit Number: lf� MAR 2 0 2015 BY i, -�Jeal PERMITTING St. Lucie County st.LuftfleWIgFYL Permit Application Nob 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 Commerial Residential PERMIT APPLICATION FOR: To Select front dropbox, click arrow at the end of line PkQpo'5' EDJMPRC)Ygh�TION: 4. Addres- _B76,t�S H(n 1, Unit 8705 �_ Legal Description: ST Lb8WGAMM1qS26 36 40 BLK 3 THAT PART OF LOTS 14 AND 16 MPDAF (OR 1195-2210) Property Tax lD#: 3414-501-1914-250-2 Lot No. 14/16 Site Plan Name: Taste of Grace Block No. 3 Project Name: Coffee Shop Renovation Setbacks Front Back: _ Right Side: Left Side: [�DlEt ILED0ESCkIPTI0,NJ0FW' PRK,, Renovation of facility from bakery to coffee shop. ,CONSTRUCTION ,,INFORMATl,ONi' ACIClitional work to be Dertorme under this permit — c eck all apply: ZHVAC 11 Gas Tank DGas Piping Shutters []Windows/Doors ZElectric Z Plumbing []Sprinklers Generator 1:1 Roof Total Sq; Ft of Construction: 1360 SC Ft of First Floor: 1360 Cost of Construction: $ 30,000.00 Utilities: Sewer ElSeptic Building Height: 10 OWNER/LESSEE: 1I" ��CONTRACTOR: Name Forkee Inc. Name: Earl Gaines Address: PO Box 7127 Company: E & B Elite Services Inc. City: Port St. Lucie State: FL Zip Code: 34985 Fax: Phone No. (561) 7074872 Address: 5821 StarcherAve. City: Fort Pierce State. FL Zip Code: 34947 Fax: (772) 465-2351 Phone No. (772) 577-0826 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: ERLGAINES@comcast.net State or County License: CGC1517445 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. C 6' - cow\." ;SUPPLEMENTAL CONSTRUCTION LIEN .LAW INFQWATION't DESIGNER/ENGINEER: _ Name: Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY: Name: _Not Applicable 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 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 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. _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _ day of 20 _by this _ day of 20 _ by 1 (Name of person acknowledging) (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. Revised 07/15/2014 (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE I COMPLETE INITIALS All APPLICABLE INFO MUST BE COMPILE. FOR APPLICATION TO BE ACCEPTED Date: kja511a Permit Number: 1561-133Z ll RECEI`.' D )AN 2 5 2016 SCANNED By Building Permit Application St. Lucie Countv 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 Residential PERMIT APPLICATION FOR: Rev,oJa}tah P,RO.PZISE©I1VPRouEMEN1T LOCAIT(ION� Address: 9705 5 US 1 Rod $4. Legal Description: Property Tax ID #: 3 `l 19 - 501 - I91-1 - asOI a Lot No. l4 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Block No. 3 mitionai worK io oe perrormea unaer inis perms- cnecK aiiinai apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric II/Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: iXc) Sq. Ft. of First Floor: r 360 Costof Construction: $ LS-,OoO Utilities: _Sewer _Septic Building Height:_ Name You 1 Address: ;?Do 11 API. 107 City: Ty. f+[rcc State: FL Zip Code: 3'"9w-7 Fax: Phone No.. 6-7ai E-Mail: 74l7ome. 1a & qm(.,l- cv� Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: C/c !fe //k�, / n Cs+ tt O Co�in.'r Company: Address: - /79p (10 City: Fi- lire/<< _ State: rL Zip Code: IgVlt,S Fax: 111-4 Phone No (779) 574-770b'C E-Mail AAa )Y".X recowY}ae(d State or County License L'GCrSaay9�r If value of rnnctrnninn is 7rnn nr mnre. a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONS ION LIEN LAW INfORMATlO DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: 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 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 commencingwork or recordin our Notice of Commencement. Z'<Z >Ze#0-1 Sign re of Owner/ Lessee/Agent Signatur f Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5t. LVC'tC COUNTYOF Sk.Ltic'ic The fo�rrBBoing instru�r lent was acknowledged before me The forgoing instrument was acknowledged before me thisO-? dayof Ja'n 201ro by thisday of y1 .20_i by G\M ker a�'c,4.0 V\ C\a��V dec-'dVN (Name of person acknowledging) (Name of person acknowledging ) (Signature of Notary ublic- State of Florida) (Signature of Notary Public- State of Florida) Personally Known OR Produced Identifca ' ersonally Known OR Produced en 'p ' Type of Identification DEANNA GIVENS pe of Identificati DEANNA GIVENS Produced L fl L "'. otary Public - State of Florid Dec 16, 20 MY Gomm. Expiresices roduced ., ", - State of Florida 6 r�-�rar5 Pd6�' p016 P,• Dec 16, comm. Exp Commission No. t.F41% rq t _€ (ScOrnission # EE 858761 p; Notary A mmission No. ,• �y 858761 ammissio(SEi3Bt) Assn. Banded Through National ��-;, op,, Nationa1 Notary ••'„���I,,, Bonded Through REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. ALLIAPPLICABLE INFO MUST BE COMPLI FOR APPLICATION TO BE ACCEPTED Date: dt,"e- 17, ` QI Permit Number: t505 L"Le Building Permit Application SQAMvcL, Planning and Development Services St LUCBY Building and Cade Regulation Division @ Cnlint 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial A_ Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III I PROPOSED IMPROVEMENT LOCATION: III Address: Legal Description: Property Tax ID #: 43 VF -Bpi - Lq- iA . zw - 2 Lot No. Site Plan Name: Project Name: Tbh ay_ OT ! tzars_ Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Block No. rzly- .tOVSL. 'FJcVVVIMG 5WiRt >; PVkTV f►d% COFFEt.� MA-� CONSTRUCTION INFORMATION: Ailaitional work to orme undert is ermlt-c ec a apply: HVAC 11GasTank �GasPiping _Shutters Windows/Doors Electric [APlumbing L Sprinklers ,Generator Roof Total Sq. Ft of Construction: 43F,D� S Ft. of First Floor: Cost of Construction: $ SO, ODO .bO— UtilitiesSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name -DgaiAp 2oq­,QbM7t Name: L-ymyyhl L$J0T>rGE:*.\ Address: tCO2_D OV-6,W & . AVM Company: &>aLpDA1 i uNr�lJ$xnt�tlJL. QI� city: a P&RCs State: Zip Code: Fax: Phone No. Address: 4-691 'EASY ST City: * t�l%94;E_ State:_ EL - Zip Code: iCZ Fax: Phone No. 2- �OS 6 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: '-O 9 12p i`-de • CO ixtVAALLP State or County License: 0�t�i.C. LZS5L If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTIOLi LAW INFORMATION: DESIGNER/ENGINEER: Name: pv- _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: A ti Address: City: Zip: 34nSo Phone: State: fL, 4 ( -TtSt City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: Name: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commncine work or recordine vour Notice of Commencement. STATE OF FLORIDA2 k " STATE OF COUNTY OF �"3� `]�C,� COUNTY I The forgoing iinstruMpnt was acknowledged l efore me this day of lrJ 20 LS_by (Name of pe�knowledging ) (Signature Notary Public- Sta e o Flor' ) Personally Known OR Produced Identification Type of Identification Produced 7_CO(C)-1fol-�l^ W7-0 l Q� Commission No. �F_ / 7l 2 f (Seal) Revised 07/15/2014 NICOLASA The forgoing instr men was acknowledged before me this Q-L,�day of� ����20�%by X " r�JLdlJ""`v (Namof person ac nowledging) / (Signature of Notary Public' §Jafe of Florida Personally Known _ Type of Identification Commission No. EXPIRES February20, 2016 Ftortea .m Wes Mar nY EE8 National N REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS