HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR,AP.OLICATION TO BE ACCEPTED
Date:rA - Permit Number. N 5aq-O` 19
f� �; "' � RECE11. -D SEP 2 9 p�
r7` ' SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie Countv
Building and Lode Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED I.MPROVEMENT:LOCATION:'
Address: 3660 West Midway Road Fort Pierce, FI 34982
Legal Description: WHITE CITY SO 05 36 40 FROM NWCOR OF LOT 92 RUN EALG N LI 235 FT FOR POB,TH CONTE210 FT.TH SI/WITH W LOT LI 623.02 FTM1L TON RAYMIDWAY RD.
THW398.02 FT,TH N 444521 W45.52 FT,TH NON M 16165 FT MIL,TH E 220 FT,TH NI/ WITH W LOT LI409 FT TO POB-LESS MIDWAY RDR -(3,92 AC)(MAP 34105N)(OR 281-635:631-1453: 643-1591)
Property Tax ID if: 3403-502-0156-100-6
Site Plan Name: Liberty Baptist Church
Project Name: Lierty Baptist Church
Setbacks Front AIA— Back: _
�� Right Side: Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
_n
�...,..._(..,,..��.�....., .,., c„4 ,...e.m,hin,le �ir—.ter,-- r-)
�HVAC U Gas Tank ❑Gas Pi
Electric El Plumbing []Sprint
Total Sy. Ft of Construction: //rr _0 Y 5 ��
Cost of Construction: $ 0A—)'J, &Z
ng LJShutters
ors ❑ Generator
S Ft. of First Floor: _
Utilities. Sewer Septic
QWindows/Doors
11 Roof
Building Height:
OWN fpR/LESSEE - `.`.CONTRACTOR:
__ ..
Name Liberty Baptist Church Inc
Name: Gary Whigham
Address:3660 W Midway Rd
Company: South Florida Aluminum Products
City: Fort Pierce State: Fl
Zip Code: 34982 Fax:
Phone No.772-461-2731
Address: 4807 South US Highway 1
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No. 772-466-0913
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
soflalum.com
E-Mail: sfapboc:cs@soflalum.com
State or County License: CRC1330712
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is requirea.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: suncoastEng Name:
Address: Address:
City: Cleamater State: FL City: State:
Zip: Phone:727-ss2-goon Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY:
Name: _
Address:
City:
Zip:
Phone:
Name: _
Address:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit
e:
_Not Applicable
St. Lucie Count yY makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 or an attorney before
commencing work or recording Your Notice of Commen
STATE OF FLORIDA
COUNTY OF samt wme
The forgoing instrument was acknowledged before me
this _ day of 20 _by
GaryWhigham 1.
(Name of person acknowledging )
1� r i Cl Cl'-
(Signature of NotafrPGE
7.'
Personally Known x: -
Type of Identification.P_rc
Commission No. FF074898
of Florida
OR -Produced-Identification-_
(Seal)
STATE OF FLORIDA
COUNTY OF samueWe
The forgoing instrument was acknowledged before me
this _day Of September 20 by
Gary Whigham
(Name of person acknowledging )
_ S cbY oa
Notary Public -State of Florida)
Commission No. FF074e98
(Seal)
SABRINA BUTLER
MY COMMIS51UN s rr manna * * .... _.......................___
Revised 07/15/2014 * * EXPIRES: December 8, 2017 EXPIRES: December 8, 2017
eendrdT6ru Budget Notary Services"Forng^��! BondedlAry Budget NoNryServicee
Eosn�'
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS