HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED. FOR APPLICATION TO BE ACCEPTED
Date: August 6, 2015 SCANNED Permit Number: o�J%
BY
rs _ ili. Gi. A` St. LucieCounty RECEIVED
Building Permit Application AUG 10 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 X Residential
PERMIT APPLICATION FOR: Renovation III
D IMPROVEMENT
Address: 3398 Selvitz Road, Fort Pierce, FL 34982
Legal Description: Please see attached.
Property Tax ID #: 2429-321-0003-000-0
Site Plan Name: Becker Preserve
Project Name: Becker house renovations
Setbacks Front 50 Back:
30 Right Side: 20 Left Side: 20
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
Renovations to existing building to bring into ADA compliance. Renovations include bathroom and
replace one (1) interior door.
Exterior improvement include new sidewalk - approx. 10 yards of concrete and parking area
improvements include ADA parking area 17 x 25 (425 sq. ft.)
I CONSTRUCTION INFORMATION: III
e enormea unaerimspermn—c
Gas Tank Gas Piping
W1 Plumbing Sprinklers
Shutters ❑Windows/Doors
Generator 0 Roof
Total Sq. Ft of Construction: 455 sq. ft. (parking/sidewalk) S Ft. of First Floor: 4558 sq. ft.
Cost of Construction: $ 25,000.00 Utilities: Sewer W1 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St. Lucie County
Name: Owner/ Builder -St. Lucie County
Address: 2300 Virginia Ave
Company:
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 462-1444 - Jerry Flynn
Phone No. 772-462-1432 - Jerry Flynn, Project Manager
Address: 2300 Virginia Ave
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 462-1444 - Jerry Flynn
Phone No. 772-462-1432 - Jerry Flynn, Project Manager
E-Mail: flynng@stlucieco.org
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: flynng@stlucieco.org
State or County License:
If 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: Don Bergman Amhitecnre. LLD
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 4362 Galor Trace Lane
Address:
City: Fort Pierce State: FL
Zip: 34962 Phone: 772466-5832
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
x 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, Ido 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
_ Signature of Owner/ Lessee/Agent
STATE OF FLOR TA
COUNTY OF i • L IAGX�
S
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forggoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this 'if h day of Jb& 0 t 20 15 by this . day of 20 _ by
Kad & 41A, l ee.
(Name of person acknowledging) (Name of person acknowledging)
(, Signature of Notary Public -State of Florida )
Personally Known '
Type of Identification Pro u8"EE�OANN —
a Expi �s Commission No. "%F�C� ellYoptg
Revised 07/15/2014
(Signature of Notary Public -State of Florida )
Personally Known _
Type of Identification
Commission No.
OR Produced Identification
(Seal)
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