HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr.
ALL APPLICABLE INFO MU``ST$E.COMPLETED FOR. APPLICATION TO BE ACCEPTED
Date: 3 ��� /J SCANNED Permit Number:
BY
St. Lucie County
..
Building Permit Application RECEIVED
Planning and Development Services
Building and Code Regulation Division MAR 2 6 2015
2300 Virginia Avenue, Fort Pierce FL 34982 IT-TING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xxx Resigg#ArGawnt�h rL
-PERMIT APPLICATION FOR: Alteration Ill
I PROPOSED IMPROVEMENT LOCATION: /' \ III
i�Ml&_ =9IM
Legal Description: 26-36S40E lot 4,5,6, blk 3
Property Tax ID #: 3414-501-1904-325-6
Site Plan Name:
Project Name: Bayshore Club
Setbacks Front+ 50' Back: 25' Right Side: +25' Left Side- +25'
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: ill
Replace ceiling tiles, remove existing bar, add 10' of interior partition to ceiling, paint interior walls
I CONSTRUCTION INFORMATION: III
MuwuuuaJ WUIK w U nnvnueu UIIUCI
Ouna pcnuu—tnc�n mi apply.
HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
13Electric Plumbing ❑Sprinkler RQ,V' rj Generator gRoof
Total Sq. Ft of Construction: 5217 : Lw S . Ft. of First Floor: 5217
struction: Cost of Con0.00 ltj tilities* Sewer ZSeptic
Building Height: 14'
OWNER/LESSEE: Killvaneg Property Co
CONTRACTOR:
Name
_f
Name: MichaelschlittConstniction
Address:133 Waters Edge j
Company:
City: jupier State: it
Zip Code: 33477-4032 Fax:
Phone No.
Address: 1708 Old Dixie Hwy #101
City: Vero Beach State: FI
Zip Code: 32960 Fax: 772-567-1553
Phone No. 772-473-0962
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: mschcon@yahoo.com
State or County License: CGC 047522
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
lA1Ai;iNfORMaT10N
DESIGNER/ENGINEER.. :ENGINEER:. Not Applicable
Name; TM
MORTQAGE;OOMPANY:
Name•
-.L. NotApplitable
Address•rmea��
Atldt�ess:
txty: � State: �-
cty:
State:
Zip: s�aez' Phone:.m
Zip: Phone:
—
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FEE SIMPt��T11fL£HOLDER; x NotApplicable
BONDING COMPANY:
Name:
Address:
Name•
address:
_NotApplica6le
C•rty: -
Zip: Phone;
City:
7.(p• Phone:
I eerttfytWt,no twrk.or i�Ilallonhas;mmmencedprior3o the issuance:ofa:permit.
Stludecoo makee55no, 'tationthat lsU inga nit,Willsuthorizethepermittrolde tobuildthesubect cture
which isin conIetwtth anyappUea HomeOwners`Ason I bylaws or and covenants t�itmayrestfiet iuproiNtpCwch
struclore;Please consultwnh,your Home Ovmers Association and te�dew yourdeed;foranyrestrkHons whidj maYspP1W
Inconsideration 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 SL Lude County Amendments.
The foUoaringbWtdingpermitappricationsareexempt6omundergolrtgafuliconcvrrancy.reWew•.rop adcMions,
accessory structures; swimming pools, fences; walls, signs, srreen-rooms and aq�safy usesloaanother non-residential use
WARNING,TOOWNER:Yourfaflumto.RecordalloLice.ofcanmerxernetttthayresuttinyourpaft_ , wlcefor
improvements to,-yout propelrW. A-.XoU Qf Cpmrnencement must'be recorded,and posted `on the jobsite
before the first inspection.. if. you Intend toobtaimfinenc)ng, consuh with lender or an attorney before
commihdri o r recordin our Not)ceof corltmencement.
s
_ Signature of Owner/ lessee Agent Signature of; o. older
STATE OF FLORIpA STATE OF F RIDA
COUNTY OF o+eaaviiainr P/]. m ysmi d ,Vl 1� 1\ COUNTYOF jil sU2
Yfteto g-instru ent aclawwledged- me- .Tfieforgotngyrsfnrmentw, aGknRWleCdio� - me,
this dayof Yl p.l� 20 this day of 20 by
:.
Y
(Name of person acknowledging) (Name nacknowf b` Notary po6ii6-StaieoGFlorida
? `•-My Comm. Expiresdun Is, 2m
`� yr Commleslon i EE ip35a5'
(si ature PubIIG Stata of Florida (Sign re . Notary Putigo- State of Florida )
Persona own OR Produced! ntification iNwinallyxnown�ORIP aced dentilication,
Type of Identiflcatian :Produced GI is 1pi y I i Pti 'type of ldimiM 6n �pEed
Commission No. 2y'1 ission,ft (Seal}
—,_.-
4$y MAGGIE&O'DONNE
CommissionA FF 92425
Revised 07715/$U14 My comm. expires Feb. 12, 2018
REVIEWS MCINT ZONING SUPERVLSOR PLANS VEGETATION SEATUi.TLE ,MANGROVE
COUNNIt REVIEW REVIEW REVIEW' i�VIEW REVIEW REAtw
DATE
COMPLETE
MMALS
SUPPLEMENTAL GONSTRiiPT10N LIEN-