HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a�a�ao(� Permit Number,
RECEI' rD FEB 0 8 2016
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie Countv
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1S53 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of linMeGgs
Y
PRQPQSEDjIMPt'OV,Ef`(IE.NTIbCI�[ONu�;rif.bs r, 6'ns ,sip ,F
Address: _10537 S- OCF-AtJ 31Jn JENSdrJ RACH FL N05?
Legal Description:
Property Tax ID#: yS//-500-00aro-0.00-5>' Lot No.
Site Plan Name: WJATS UP OL)Pr AV E l Block No.
Project Name: LNAiS UP CuPCPIcEI
Setbacks Front Back: Right Side: Left Side:
WSTALL 09 GAS TANK RND C 0CS 7b GjAT-EK- HC.ATErz AND
VM Va )5�%-
HVAC
H:tausmybing
nk
�Gbs-Piping
UShutters
Windows/Doors
Electric
Sprinklers
0 Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 00. 0 c>
S Ft. of First Floor: _
Utilities- Sewer_Septic
Building Height:
OWNER�LES$EE `r,F, x ��>
�E � ;,�ve
a,tSm .i»w�tttt,
Name-J.CNtJIFErL 30SMAn
Name:
Address: ala9 NETTLES L3lVD
Company: iEX�ECECJS
City: aeAe-1 State:_
Zip Code: 3y95-? Fax:
Phone No. -na % 7/3 - Yq$V
Address: SOW SE DlXitr !-.uiy
City: Si-uAfLT State: fZ
Zip Code: 3`'1 fl7 Fax: 77d, dS'? 3N5(o
Phone No.
E-Mail: }Eh%N1FEMPRpNSTRitiog(jroiL COYn
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: I�A17L Ni>LNi?�FE�F ciCLv'?S• CA r1
State or County License: agCOo�'
11 VYIYC UI WIMLIUCl1VI1 IS JGDVU or more, a IMMUKUtU Notice ar commencement is required.
DESiG.%'WEC.GL'IELti..- _ Ncrrf{ppiiraoi�—
Name:
-MORTGAGE COMPANY _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that nttooy work or installation has commenced prior to the issuance of a permit.
wh ch is In ionfli makes
any applicablelHome Owners granting
atlonl rules,bylaws or and covenants that build
ay 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
commencing work or recordin'g your Notice of Commencem'rent.
Q�
,
44/ w/ s
_Signature of Owner/ Lessee/Agent
_
Signature ofContractor/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF tA%( its
The forgoing instrument was acknowledged before me
The forgoing instalment was acknowledged before me
this _ day of 20 by
this Mday ofkeMZop2Y 20 191 by
1
KArMIUA- aaA1.J&d�
(Name of person acknowledging)
(Name'ofpeperson
naacknowledging)
(Signature of Notary Public- State of Florida)
(Signature of Notary PublicSt te of Florida)
Personally Known OR Produced Identification
"`ttg1111111Up//
��`` 9FJr91y g���i
Personally Known OR Produced Ide`
Type of Identification Produced
Type of Identification ProduCced 40�1 p
Commission No. (Seal)
JYd SIf ®®®
Commission No.ZZ
.:
qj
i :5•
Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
02/12/3016 13:58 FAX
R 0003/0004
FEB 12 2016
DESIGNER/ENGINEER
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
_
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: —Not Applicable
Name:
Address:
Zip:
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
d v
AL s
_Signature of Owner/ Lessee/Agent
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 6142rinl
STATE OF FLORIDA
COUNTY OF JAN<L 113
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this �;1/ day ofgrr-`IZYCyAit / . 20 !ro by
this � day of f�(IMUA2Y 20 � by
I k4T/Z//UA- P-6L4AXit—J2
Khrezw& i3a.Anx&G�
(Name of person acknowledging)
(Name off/ person )
I<a-"— � ,1
f4�. 0 .
(Signature of Notary Public -State of Florida)
(Signature of Notary Public -State of Florida)
Personally Known _-Z OR Produced Identification _
`tpttttttHlryprrr�
$�AAp p�i0
Personally Known OR Produced IdeQ$i,��tip •.
Type of Identification Produced
Type of Identification Produced i` • 11,?
Commission No. Pi�/35 ADS (Seal)
•:
//� et� 2
Commission No. Y�35YDSis
Revised 07/15/2014 `fin d a. N d �
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALLAPPLICABLE INFO MUST BE COMPL E FOR
Date: 1102015 .
Planning and DevelopmentServicii' Building
Building qnd Cade Regulation D(We's
2300 Virginioquenue, slon
Fort Pierce FL 34982
Phone: (772)462.1553 Fax: (772) 4.62-1578
PERMITAPPLICATION FOR: Alteration
APPLICATION TO BE ACCEPTED
Permit Number: 1 ,t
Permit Application: �CHN�lED
St. Lucie County
COrnmerUal x
Residential
Address: 10537 S. Ocean Drive, Jensen Beach, FL 34057
Legal Description: Beach Club Colony - Section One Lot 3
-��
Property Tax ID q; 4511-500-0006-000-8
Site Plan Name: what's Up Cupcake
Project Name: what's Up Cupcake Tenant Improvement
Setbacks Front
Back
u^` <f Right Side:
Left Side:
��-AaA a w
Modify existing unit into a bakeryk; * r�a�
per engineering plans.
Izj� LeJ Gas Tank �G.
Electric zPlumbing
Totals Sr
q Ft of Construction: 54=_
Cost of Construction: $ 18,000
L„J Generator
S Ft".of First Floor; 545!
Utilities. tSewer Septic
Name.Jennifer8osmati ��"u'..< r �
Address; 2129 Nettles Blvd,
City; Jensen Beach
Zip Code: 34957 State: FL
Phone No" (772) - 94 Fax:
E-Mail: jennifersapronstrings@gmall com
Fill in feesimple.Title Holder on next
from the Owner listed Page (if different
_ above)
construction is $2500 or more, a RECORDED
Lot No.,—_
Block No.
QwindOWS/Doors
Roof
Building Height:
9. Inc:
City; F ort:St Lucie Drive
cite
f Zip Code: 34983 State: FL
— Fax:_(772) 873-1181
Phone No. (772) 418-6265
E-mail: mike.Vanwal@grt ad,com
State or County License:; CGC 1508090
SLC28598.
Name: Michael
Company: VanwalCc
Address: 5475 W
IG