HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA LE INFIMUSI BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY tE C
St. Lucie Counts,
JAN 14 2016
Building Permit Application Public Worv_
Planning and Development Services St. Lucie Cour,:y, FL
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
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PERMIT APPLICATION• ' P'FiilT�aru...�.:
PROPOSED IMPROVEMENT LOCATION:
Address: 887 E Prima Vista Blvd., Port St Lucie, FL
Legal Description: River Park - Unit 3 - E 338.35 Ft of Tract D as measured ALG the NLI of SD Tract
Property Tax ID #: 3419-515-0001-0003
Site Plan Name: Port St Lucie Shopping Center
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTIOWOF WORK: III
1,,817 LF Privacy wall 8Ft tall �/A�
FlOG GF�, le I�2z _ �,e srt�)C ,
CONSTRUCTION _INFORMATION:
Aaanionai worK to rienerformed under tispermit—check all apply:
OHVAC Gas Tank []Gas Piping Shutters ❑ Windows/Doors
11 Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 8,000.00
SgI�Ft.� of First Floor: _
Utilities: LJ Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:.
Name C e / QOd /,C
Name: Ken Ringe
U
Address: l k1we✓AlPI
Company: Bayview Construction. Services LLC
City: Ya o,, ni( State:
Zip Code: 5LZ 7 Fax: ,�7�10[�y7
Phone No. Cyr-/- l/ C14 %p3 '(9
Address: 4826 SE Railway Ave
City: Stuart State: FL
Zip Code: 34997 Fax: 772 288-1337
Phone No. 772 283-9300
E-Mail: COS / '4 c 0 Aar`. L Off%
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Kringe@bayviewconstruction.com
State or County License: CGC 1520874
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
11
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFUMATION.-
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:
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
commencing work or recording vour Notice of Commencement.
Gt1711//AA./..i�1�fAU I Yl�l �, 5
gnature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORID!:_�e
COUNTY OF
The forgoing instrument was acknowledgeq before me
this ry - day of T�?6 • 201.%by
O'cVV
I ;
person
Type of
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF Marne
The forgoing instrument was acknowledged efore me
this 74 day of January , 20 by
Ken Ringe
(Name of person acknowledging )
!� f-vc_u/ /-U t4L ' owl Yl-t
(Signature of Nota r6publict State of Florida )
wn Personally KnoV OR Produced Identification
Type of Identification Produced
Commission No.
BendedThry Notary Pubrrc Undemfin
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