HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO'BE ACCEPTED
Date: November K 2018 Permit Number: �� i - C)43,11
SC
BY
St. Lucie CountV RECEIVED
_
Building Pp: r t Application
NOV 0 6 2018ion
Planning and Development Services
Building and Code Regulation Division ST. Lucie 6eHnty, ParmlTa
2300 Wryinic avenue, Fort Pierce FL 34981 —
Phone: (712) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT'LOCAT_ION:
Address: 6623 N US HIGHWAY 1
Legal Description: 634 40 THAT PART OF S 112 OF NW114 OF NE 114 LYG W OF US i AND E OF TRNPK FEEDER RD MPDARBEG AT INT OF W RfW US 1 AND
S U OF S 112 OF NW 114 OF NE 114 RUN W ALG S U 220.6 FT TO E R(WTRNPK FEEDER RD,TH NELY ALG RAN 317.2 F r TH TURN 90 DEG AND RUNS 62 36 04
E 97.75 FT TO WLY RNV US 1.TH SLY ALG RNO 245.9 FT TO POB (MOTEL AND RESTAURANT) (OR 1150-614� 3982-974)
Property Tax ID #: 1406-124-0002-000-4 Lot No.
Site Plan Name: The Acade Block No.
Project Name: The Acade
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Demolition according to plans issued with permit. Some interior walls and flooring.
CONSTRUCTION INFORMATION:
Additionalworktobenerrormedunder tispermit—check a appy:
❑HVAC nGas °ipi^
Gas Ta nk ^
Electric Plumbing I I I' I II
J � g � Sprinklers Generator U Rao; `� [coal;.aG[
ll
rota! sq. Ft of Construction: 5c. Ft. of First Floor: "
Cost of Construction: $ 1,000.00 Utilities: Sewer 0Septic Building Height:
OWNER/LESSEE`.
CONTRACTOR:
Name Croce Giambanco (TR) Name: Steven Drake Marston Jr.
Address: 325 Farleys Court Company: Manta Ray Construction
City: Vero Beach State: FL Address: 85 South Las Olas Drive
Zip Code: 32968 Fax: City: Jensen Beach State: FL
Phone No.1305) E192-8151 Herr, Zip Code: 34957 Fax:
E-Mail: Phone No. 772-201-8316
Fill in fee simple Title Holder on next page (if different E-Mail: hyperionsg.fl@gmail.com
11 from the owner listed above) State or County License: CBC 1259999 �lI
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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, 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
imnr-r-airtrra�art�zr
Notice Or L.Ommencement.
Signature of Owner/ Lesse Contractor as Agent for Owner Si nature of ContrwH®r4icense Holder
STATE OF FLORID STATE OF FLORID
COUNTY OF a -_I U G�y,'e_ COUNTY OF �{ I)CL-6
The for gp� instru a was a�knowledge�} efore me The f rgQing instru n was a knowledg before me
this &'4 da1' of O V 20 b by this, Y"'day of ` n . D by
S�eyeln bra . YV�nlr`����(L
Name of perso making statement
Personally Known OR Produced Identification
Tyne of Identification
EOmfAISSION # Gft'g(
EXPIRES Apol 04, 2021
Name ofpers making statement
Personally Known. OR Produced Identification
Type of Identification
Collis
MY COMMISSION # U �'PaJ)
EXPIRO April 04. ��-C2 i ,
REVIEWS 1 FRONT 1 ZONING Stji?Lk fS0rF i F'_ ANS i VEGETATION i SEAT.iesTlF ` f;VahGROVI:
COUNTER I REVIEW REVIEW
RkVt1L'J ; ,tEVIf W I REVIEW � ifFVIEW
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