HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTECP�
Date: 7-6-2015 SCANNED PermitNumber:—
BY
aLwecMmy RECEIVED
Building Permit Application JUL / 6 2015
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 YES Residential
PERMIT APPLICATION FOR: Renovation
07t�,,l F1 III
I -PROPOSED IMPROVEMENT LOCATION: III
Address: 8420, 8422 AND 8424 S US HIGHWAY 1, PORT ST. LUCIE, FL
Legal Description: ST. LUCIE GARDENS BILK 3 LOT 3,4,5 BLDG 3
Property Tax ID #: 3414-501-1903-010-8
Site Plan Name: UNITED PENTACOSTAL CHURCH
Project Name: UNITED PENTACOSTAL CHURCH
Setbacks Front300' Back: 3
Right Side: INA Left Side: 210'
Lot No. 3,4,5
Block No. 3
I DETAILED DESCRIPTION OF WORK: . '111
INSTALL DOOR PANIC BARS, PAINT, BRACE CHAIRS TO FLOORS, GRAB BARS IN REST
ROOMS, REVERSE DOOR SWING AT WOMEN@S RESTROOM AND INSTALL NEWWATER
FOUNTAIN PER PLAN.
CONSTRUCTION INFORMATION:
ACIC11tional worK to b rtormed under this permit— check all that apply.
L
RJHVAC Gas Tank []Gas Piping 0 Shutters E]Windows/Doors
11 Electric Plumbing []Sprinklers 1:1 Generator 1:1 Roof
Total Sq. Ft of Construction: 2313 * 9 (0
Cost of Constructlon_�._� ff 11)
11 �
Sq. Ft. of First Floor: 2313
Utilities: R1 Sewer ElSeptic
Building Height: 13'
OWNERAESSEE:
CONTRACTOR:
Name ST. LUCIE PALM CENTER, LLC
Name: LLOYD M. CONSTANT
Address: 2240 WOOLBRIGHT RD, SUIT 300
Company: ANDROS ROOFING*CONSTRUCTION, LLC
City: BOYNTON BEACH State:FL
Zip Code: 33426 Fax:
Phone No. 772-286-5744
Address: 2706 ATLANTIC AVE
City: FORT PIERCE State: FL
Zip Code: 34947 Fax:
Phone No. 772-475-4915
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: androsconstruction@gmail.com
State or County License: CGC1 516095
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
LIEN LAW
N:
EER:
Name
City:
zip:.
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: —
Not
Not Applicable
MORTGAGE COMPANY:
Name: NA
Address:
City:
Zip: Phone:
— Not Applicable
BONDING COMPANY: —Not Applicable
Name:
Address:
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 stf ucture
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 I der or an attorney before
commencine work or recordine vour Notice of Commencement. 7
Lessee/Agent
STAfE OF FLORID&A. STATE Cli/FLOW,
COUNTY OF r �2�, N
COUNTY OF
The forg t t as acknowledged before me The forgoing instg"ent was acknowledged before me
this o1g'ns.""w this day of 20X
daN of 20/,57—b, 'L14Z&n_ . .. - ,
y - ___t by
Z40YO) M. & M102AITv
(Name of person acknowledging) (Name of person acknowledging)
(Signature of, tary Public- tate of Flor
Personally Ki 7OR Produced
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Seal)
Personally Known OR Produced
Type of Identification Produced
Commission No.
(Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
.6
INITIALS
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