HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONm
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: OCTOBER 7, 2015 SCANNED PermitNumber: Jo
BY RECEL-il.,
St. Lucie County g
Building Permit Application
OCT 0120115
Planning and Development Services PERMITii Wi,
Building and Code Regulation Division St. Lucie Cour.�,J
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 887 East Prima Vista Blvd
Legal Description: River Park Unit 3 E 388.35 FT OF TR D
Property Tax ID #: 341951500010003 Lot No.
Site Plan Name: Block No.
Project Name: PORT ST. LUCIE SHOPPING PLAZA
Setbacks Front na Back: NA Right Side: NA Left Side: NA
DETAILED DESCRIPTION OF WORK: III
FASCADE REMODEL PER PLAN
I CONSTRUCTION INFORMATION:
OHVAC U Gas Tank Gas Piping UShutters Q Windows/Doors
❑✓_Electric OPlumbing ❑Sprinklers D Generator Roof
Total Sq. Ft of Construction: p .O,, S�Ft. of First Floor: NO CHANGE NC
Cost of Construction: 0 _�CeS 0 Utilities: I ISewer 0Septic Building Height: NC
OWNER/LESSEE:
CONTRACTOR:
Name ST LUCIE REALTY GROUP LLC
Name: KENNETH RINGE
Address:469 MARINER DR
Company: BAYVIEW CONSTRUCTION SERVICES
City: JUPITER State: FL
Zip Code: 33477 Fax:
Phone No. 954-646-6390
Address: 4826 SE RAILWAY AVE .
City: STUART State: FL
Zip Code: 34997 Fax:' 7722881337
Phone No. 7722839300
E-Mail: CALMIKE009@AOL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: KRINGE@BAYVIEWCONSTRUCTION.COM
State or County License: CGC1520874
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name: RAYCHLADNY
City: State:
Zip: Phone: 7726315709
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:
:91I�1
MORTGAGE COMPANY:
Name:
Address:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_ Not Applicable
_Not Applicable
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, 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 lender or an attorney before
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORID{ STATE OF FLORIDA
COUNTY OF Y NLl r� COUNTY OF���
The forgoing instr me t wass acknowledged before me The forgoing instrument was acknowledged before me
this � day of �G YJ2t' . 20 Eby this 7 day of OCTOBER 20 _ by
V e_�� � 'OQ' L �'Q n '�4 no,-
(Name of person acknowledging (Name of person acknowledging
(Signature of Notary P ic- State of Florida) (Signature of Notary P t-State of Florida )
Personally Known L.-' OR Produced Identification Personally Known x
Type of Identification Produced I Type of Identification
Commission No.
Revised
Notary Public State of Florida
My Commission EE
Expires 11122/2015
Commission No.
OR Produced Identification
I Krombs
11/22/2015
of Florida
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