HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (2)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1211bl15 Permit Number: /s/o—o/.:�-7
Building Permit Application SCANNED
. IG '
Planning and Development Services StLucie Building and Code Regulation Division C County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 887 E Prima Vista Blvd., Port St Lucie, FL
Legal Description: River Park - Unit 3 - E 388.35 Ft of Tract D as measured ALG The NLI of SD Tract (Map34/225)
Property Tax ID #: 3419-515-0001-0003 Lot No.
Site Plan Name: Port St Lucie Shopping Center Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION`OF,WORK:
Demo of existing interior & party wall
CONSTRUCTION INFORMATION;
Haamonai worK co oe
❑HVAC
DerTUrMeU
Gas Tank
unuer uus Pennu-arecK an
❑Gas Piping
aPPry:
❑ Windows/Doors
_Shutters
❑Electric
❑
Plumbing
[]Sprinklers
❑ Generator
❑ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ G O"c%r'r the
S Ft. of First Floor:
Utilities: Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Names% .C4 r r;e &AI a 6-rLt-e-
Name: Ken Ringe
Address: yID % lYj/�e/n/y�L (�/[
Company: Bayview Construction Services LLC
City: V'� State: L
Zip Code: r ` 3Y7 7 Fax: SZ1-2117:3 v7. 3
Phone No. 9X-g— ( Stk �$i'O
Address: 4826 SE Railway Ave
City: Stuart State: FL
Zip Code: 34997 Fax: 772 288-1337
Phone No. 772 283-9300
E-Mail: C1i-1Af1 y O �9' & d4-oL . ed/4
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: dot@bayviewconstruction.com
State or County License: CGC 1520874
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW.INFORMATIW
DESIGNER/ENGINEER:
Name:
x_ Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
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 permit will authorize the permit holder to build the subject structure
which is in contlict with any applicable Home Owners Association rules, bylaws or ano covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictionswhich 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-fesidential 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
S
_ Signature of Owner/ Lessee/Agent Signature of contractor/License Holder
STATE OF FLORIDA ���� STATE OF FLORIDA
COUNTY OF -� `�'sC• ° , COUNTY OF Martin
The forgoing instrTent was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20by this 10N day of oeCBtnear 20 _ by
"tar n 1 \ 01ynrNJyk-\L0 Ken Ringe
(Name of person acknowledging I (Name of person acknowledging )
qmk-�� �4"' C�� I k&'q�
Signature of Notary Public- Sta\tb of Florida) (Signature of Notary Publi q
State of Florida )
Personally Known OR Produced Identi 'ca 'o ly Known x OR Produced Identification
Type of Identification Produce flype o dentification Produced
-l. » CJ Tb O �o� ' - Notary Public - State f Florida
eommission No. } y Comm. Expires De 2090011 ion No. (Seal)
' commission # FF 177249 _ _ _ _
Revised07/15/2014 . r MYWWISSI0N9FF9ar6a7
., •k= EXPIRES: November 22, 2Dt9
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