HomeMy WebLinkAboutBUILDING PERMIT APPLICATION11
ALL APPLICABLE INFO MUST BE COMPLETED FOR-AABLJS§LT TO BE ACCEPTED /�' �,�(�
Date: BY Permit Number: I Si o - � f`t(L) /
tip- t:
St. Lucie Countv
WRIM=-s WORM RECEIVE®
Building Permit Application OCT 2.6 2015
Pianning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Port Pierce rL 34982 g cie County, FL
Phone:(772)462-1553 Fax: (772) 462-1578 Commercial x Reside baLli
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 16891 Carole Noon Ln, Ft. Pierce, Fla. 34945
Legal Description: attached
Property Tax IDN:222521100010002 Lot No. _
Site Plan Name: Save The Chimps, FKA, Center for Captive Chimpanzee Care Block No.
Project Name: Save the Chimps, Maintenance Building Office Remodel
Setbacks Front na Back: na Right Side: na Left Side: na
remodel two existing large offices into four smaller offices
onaiworKtooe errorrnea
Gas Tank
unuer tna Peuuu-u)ecromt
❑Gas Piping
app,y.
Shutters
[Z] Windows/Doors
HVAC
_
Electric 0 Plumbing
Sprinklers
01 Generator
Roof
Total Sq. Ft of Construction: 483
Cost of Construction: $ 15,500.00
S Ft. of First Floor. 483
Utilities:D Sewer [z] Septic
Building Height: 20�
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Name Save the Chimps Inc.
Name: Douglas F. Davis
Address:16891 Carole Noon Lane
Company: Richard K. Davis Const. Corp.
City: Ft. Pierce, Fla. State:Fl
Zip Code: 34945 Fax: na
Phone No. 772429 0403
Address: PO Box 186
City: Ft. Pierce, Fla. State:fl
Zip Code: 34954 Fax: 465 7665
Phone No. 370 3356
E-Mail: bcamis@savethechimps.org
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: rmullins@rkdavis.com
State or County License: cgc013084
If value of construction is $2500 or more, a RECORDED Notice of
regarea.
SUI PI MENTAL
CQNSTRU'.0 L► t4'LAW INFORMA?IQJV
i
.
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applica ble
Name: oamwmnhin.
Name: an
Address: 1984 SW Biun,ore $r.
Address:
City: n.sctnnm
State: Fla
City:
State: _
Zip: N984 Phone: 7727BB98os
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Naive: owaor
Name: nn
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 pennit 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 jobs ite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrumen_ t was acknowledged before me
this day of o 20 b
person acKno iAV TA MY COMMISSION f FF 142M
EXPIRES: July 15, 2018
Bonded ThruNota7PoWe Undenerkem
Personally Known X OR Produced Identification
Type of Identification Produced —
Commission No. •FF 1# (Seal)
Revised 07/15/2014
Signature of C ntractor/License Holder
STATE OF FLORIDA
COUNTY OFF � . Lu- 7115
The forg �. instrument was acknowledged before me
this �'8ay of �A/1 a, G/L . 20 by
Name of person acknwwal
( P Notarylic - State of Florida
•'- My Comm. Expires Nov 7, 2016
Commission # EE 2ll267
Known Vol OR Produced Identification
Commission No. (Seal)
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