HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-2-15 OGANNED Permit Number: &M OOS 7.
13Y
v4v Lucie cot,*
Building Permit Application RECEIVED
Planning and Development Services JUN �- 2 2015
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
I PERMIT APPLICATION FOR: Alteration III
PROPOSED IMPROVEMENT LOCATION:
Address: 1302 Virginia Ave. Ft Pierce
Legal Description: Lawnwood Park - Football Stadium S. Entrance Restrooms
Property Tax ID #: Le - '!�'v V - (9 b C) 0 Lot No.
Site Plan Name: Block No.
Project Name: Lawnwwod Park -ADA Renovations
Setbacks Front Back: - Right Side: _ Left Side:
I DETAILED DESCRIPTION OF WORK:, I I � I I III
Interior ADA modifications to existing conditions and systems.
CONSTRUCTION INFORMATION:
AclairionalWOrKtol3enerrormed under
this permit —check
all
apply*
0HVAC 0 Gas Tank
E]Gas Piping
Mutters
[]Windows/Doors
ZElectric Z Plumbing
[]Sprinklers
0
Generator
Roof
Total Sq. Ft of Construction:
S
Ft of First Floor:
Cost of Construction: $ 25000
Litilities12
SewerElSeptic
Building Height:_
OWNER/LESSEE:
CONTRACTOR:
Name St Lucie County - BOCC
Name: Greg 01dakowski
Address: 2300 Virginia Ave
Company: Grande Construction
City: Ft Pierce State: FL
Zip Code: Fax:
Phone No, 772-462-1249
Address: PO BOX 881765
City: Port St Lucie State: FL
Zip Code: 34988 Fax: 772-785-8851
Phone No. 772-336-7240
E-Mail: whiteg@stlucieco.org
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: greg@grandefl.com
State or County License: CGC1505127 SLC # 23758
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name: EDB&Amcdates
X
MORTGAGE COMPANY: Not Applicable
Name:
Address: 65 Rw Pei. Point - Suite D
Address:
City: vemBeach State: FL
Zip: 32960 — Phone:. 772-569-4320
City: —State:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X NotApplicable
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.
no
your
e the permit holder to build the subject structure
or anci covenants that may restrict or prohibit such
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 concurrencV 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
commencinR work or recordinR vour Notice of Commencement.
Z-C'--L�4-�Prtm
4 L'L
Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTYCIF
The forgoing instrument was acknowledged befo
this V'x- day of 77V�X 20 Lj::�by
person
(SignaturVf Notary Public- Sfate of FW(Ida a
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
STATE OF FLORIDA
COIUNTYOF�WCIE
The forgoing instrument was acknowledged before
this 02 day of JUNE
— �20 jT' by
acknowledging)
(Signature of Nbtary Public- State of Floi
Personally Known - --'_�OR Produced
Type of Identification Produced
Commission No.
(Seal)
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