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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: " 'uffifflam SCANNED Building Permit Application By Planning and Development Services St. Lucie County Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xx Residential PERMIT APPLICATION FOR: Plumbing Address: 7043 S US HWY 1, Suite #203, Port St Legal Description: Property Tax ID #: Site Plan Name: _ Project Name: Setbacks Front ie, FL Back: Right Side: Left Side: tTAIL'ED DESCRIPTION OF WORK Install water and drain for breakroom sink and install water and drain for hand sink Lot No. Block No. C9NSTRUCTIOWNFORMATION Additional wor to Bee E]GasTank orme' un ert ispermit—c ec a apply: In ❑HVAC ❑Gas Piping _Shutters ❑Windows/Doors ❑Electric 0 Plumbing []Sprinklers ❑ Generator ❑ Roof Total Sq. Ft of Construction: Cost of Construction: $ 1a0a' Sq. Ft. of First Floor: Utilities: ❑Sewer ❑Septic Building Height: ;;OWN ER%LESSEE:: CONTRACTOR , Name Luso Holdings Name: Grant Larson Address: 380 Brazilian Circle Company: Grant Larson Plumbing City: Port St Lucie State: FL Zip Code: 34952 Fax: Phone No.772-879-2220 Address: 2851 Janet St City: Stuart State: FL Zip Code: 34997 Fax: 772-781-7531 Phone No. 772-283-9117 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: Granlar47@gmail.com State or County License: CFCO22527 If value of construction is $2500 or more, a RECORDED Notice of Lommencement is required. SUPPLEMENTALCONSTRUCTIONLIEN",LAW�looRMATION .- 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. _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _ day of , 20 _by 1 STATE OF FLORIDA�/�/ COUNTY OF The forgoing instrument was acknowledged before me this4 day of 'u'y 20 by Alaina M Memia (Name of person acknowledging) I (Name of (Signature of Notary Public- State of Florida ) Personally Known _ Type of Identification Commission No. Revised 07/15/2014 OR Produced Identification (Seal) of Notary Public- State of Personally Known xx OR Produced Identification Type of Identification Produced Commission No. GG005752 o"Ay ou�o (Sea)6NAM.MEROLA r ..o „ My COMMISSION A GG 00M Bonded 71uu Budget Nfty sovim REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 7,2 - q� S— -1�—),7c)L/ APPLICABLE MUST BE COMPLEI'' OR APPLICATION TO BE ACCEPTED INFO Dater Permit Number A(;G a- 6 %6 RECEI'." -D FEB 0 9 2016 SCANNED Building Permit Application BY St. Lucie Counh Planning and Development services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce A 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _/ Residential PERMIT APPLICATION FOR: Orn_ e o\1 �'ay� Q Nttp RVV\ Address: W-13 SOUTH US HWY ONE Sulu- D-01 PORTSTI C 1 1= 3yolsa. Legal Description: N /A Property Tax ID#: ;R981 &'O 'S'� OQ�Oa-GGO-1 Lot No. N /A Site Plan Name: ST I uCIE OAK C.Ommi;t R-C.I A L LLC- Block No. N /AA Project Name: I uS0 Fk0LbINGS L-UC_ Setbacks Front -N-IA Back. _..-N/;A--Right side----N/-A --Left Side, :--nY%A---- _`-----_-`---- _ r r ;�•" z�°_:. sue, ,� , "�w,:. - a ° ;. �' .� . - TNTz-I-nP- OF-FI(1t=-90tLf101-r—1 Nowt � - AOclItiona wor to a pe orme under t is permit- c ec allthatapply: %/Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric ZPlumbing ✓Sprinklers _ Generator _ Roof FT Total Sq. Ft of Construction: 1, 4'70 Sq. Ft. of First Floor: 7 W7 s$ Cost of Construction: $ (e Z, O C,O • 00 Utilities: ✓Sewer _ Septic Building Height: .,Luso<t-14 nirVGS t_t-c ;=.IName_ SEC17 F HAr�Dtrt ,fame Address:•2;8D_''_i;17- io I.1- lrJ CIQ-cLL Company :StQFkcT�co�l ConisiRucsion SEe City: 1�02 r ST Lu cI L State: V-�L Address: (�D QF rn-nfv� Q�-'C/Y cas 1�31UC9. Zip Code: 3 U 015 a Fax: 77X- $79 - 74 '07 City: _ �FL;dy---- Stater, Phone No. r)79- 3?o-14b8' Zip Code: a4CAtD _ Fax: -QC,CQ (I E-Mail: r t1uc e0UhsLc-a7he11soc)1-I -ne-1- Phone No. rm-gG'- Fill in fee simple Title Holder on next page ( if different E-Mail" ;' VAQVd, n a7 sAyac�rIcoh c o wt from the Owner listedabove) State or County License: C,c.4 h(. 1 S79- If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable _ Name: Y9A De51GN Name: Address:[;70-7 SDutH i�1)01- HwY SUL& S Address: City: Wes.+ t?o:t vn B ear In State: 1=L- City: State: Zip: S3405 Phone: 5�,1- 4a3- 1506 Zip: Phone: FEE SIMPLE'TITLE HOLDER: ✓Not Applicable BONDING COMPANY: Not Applicable Name: 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 bylaws rules, 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. you intend to obtain financing, consult with lender or an attorney before -commencin -work-or-recor ' r-NoticeofCommencem t- - - - - - Signa of Owner/ Agent/ Lessee Sign t ire o Contractor/License Holder STATE OF FLORIDA STATE OF FL IDA COUNTY OF ST. t-vct E COUNTY OF h LC :01 P The forgoing instrument was acknowledged before me The forgoing instru nt was acknowledged before me this Zg day ofSatyuri2�/ 2011 by this, day of by 3VG S I l YID F11 1 h�26) NCi<lp (Name of person acknowledging) (Name of person acknowledging) &A& - 1 /4 QinE� � G'nntg — (Signature of Notary Public- tate of Florida) (Signature of Notary Pu c- State of Florida ) V111 ..... ...� Personally Known ✓ OR Produced Identification Personally Known O P, ;I FNAiA BVRNE Type of Identification Produced Type of Identification Produc d,' "F�^' �F %"` "'Z'. BRENDA AIL Commission No. r 03 Z.(oge "o wS August 24, 201 o.e y, !.I MV COMMISSI N #FF032649 Sae-0153 Flo id allotaryservice.mm EXPIRES Sept tuber 16, 2017 - 110070 D153 Fioddallotg rysice.com REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW/ REVIEW REVIEW REVIEW REVIEW RECEIVED �I �ZI� DATE Cyll COMPLETED ev. -