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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ o Date: I') A1003 aioni *iS Permit Number: .� 0 / @-E���6 i�'t® ,�,,...—tea `�V %8 rW �73NNy�S /Building Permit Application DEC 2 2 2015 lNG Planning and Development Services Lucie IT unty, Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial XXX Residential PERMIT APPLICATION FOR: Alteration etl, 0 �ti1 PROPOSED�IMPR®VEMENTLOCATION w Address: 10016 SOUTH FEDERAL HIGHWAY (US HWY 1 Legal Description: ST LUCIE GARDENS 01 37 40 BLK 3 N 300 FT OF THAT PART OF LOT 15 LYG E OF US1 92.85 AC) (MAP 44/01 S) (OR 351-2734) PropertyTax ID #: 34-14-501-3715-050-9 Site Plan Name: Project Name: CARIBBEAN SOCIAL CLUB EXPANSION Setbacks Front Back: Right Side: Left Side: REMOVAL OF DEMISING WALL TO EXPAND SPACE HVAC L==[ Gas Tank UGas Piping Electric 0 Plumbing []Sprinklers Total Sq. Ft of Construction: 1,400 Cost of Construction: $ 6,000.00 Shutters Generator Lot No. Block No. QWindows/Doors 11 Roof S Ft. of First Floor: 1,400 Utilities: Sewer 0 Septic Building Height: r DOWNER/LESSEE n. gs `7GONTRAGTOR: � - Name EXCELLENT LAND HOLDING, LLC C/O NAI SOUTHCOAST Address: PO BOX 3059 .Name: JEFF FISHER Company: FISHER CONTRACTING CORP. City: STUART State: FL Zip Code: 34995 Fax: Phone No.772-286-6292 Address: 4133 BURNS ROAD City: PALM BEACH GARDENS State: FL Zip Code: 33410 Fax: 561-691-4718 Phone No.561-691-4716 E-Mail:JTRENT@NAISOUTHCOAST.COM Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: JEFF@FISHERCONTRACTING.NET State or County License: CGC1505947 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable Name: JOSEPHP.MCCARTY,ARCHITECT,INC. Name: Address: 900 EAST OSCEOLA STREET Address: City: STUART State: FL City: State: Zip: aaesa Phone: 772-287-6735 Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: X Not Applicable _ Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 ar),attorney before _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _ day of 20 _by 1 (Name of person acknowledging ) (Signature of Notary Public -State of Florida ) Personally Known _ Type of Identification Commission No. Revised 07/15/2014 STATE OF FLORIDA COUNTY OF PALM BEACH The forgoing instrument NNas acknowledged before me this day of ©ace J'&� , 20 t SS by JEFF FISHER (Name of person acknowledging) Florida OR Produced Identification Personally Known Xxxx OR Produced Identification iced Type of Identification Produced (Seal) Commission No. Z NOTARY t):, R & ATE OF FLORIDA REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS SUPPLEMENTAL CONSTRUCTIO IEN `LAW INFORMATION: oNot DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Applicable Name: JOSEPH P. MCCARTY, ARCHITECT, INC. Name: Address: sooEAsroscEousTREEr Address: City: STUART State: FL City: State: Zip: 34994 Phone: 772-287-6735 Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: X Not Applicable _ Name: Name: 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 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 &U41c,J�&JJA-) i S gnature of 0 r/ Lessee/Agent STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this �_ day of l���iw�° t� . 20 J.Tby 1 (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known _e OR Produced Identification Type of Identification Produced Commission No. 4.1. MIS of Flowa Kumiw Revised 07/15/2014 s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF PAunBEACH The forgoing instrument was acknowledged before me this _ day of 20 _ by JEFF FISHER (Name of person acknowledging) (Signature of Notary Public -State of Florida ) Personally Known XXXX OR Produced Identification Type of Identification Produced No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS