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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 �1/j? .b., , ..t • +, 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� ` e (C` ".h I S i\"l•'. % 1 i 3 .. x, () �1a $4 -. KY \ } ti'wI t�N x Z by 4 Nr Fpp'n T A.t ai ilia. C"fcw`Sy a(" 11•ti1� Y 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) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS