HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPL ,' D FOR APPLICATION TO BE ACCEPTED
Date: 3. 1�4% i 0 Permit Number: 0 r 1
SCANNED
BY
St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services MAR 14 2016
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Renovation (-1 III
PROVEMENT LOCATION:
Address: 905 Shorewings Dr. Ft Pierce FI. 34949 INLET STATE PARK
Legal Description:
PropertyTaxlD#: A1126-- 00-1) 002-
Site Plan Name: FT PIERCE INLET STATE PARK
Project Name: DYNAMITE POINT RESTROOM REHABILITATION
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Renovate existing male and female restrooms to be ADA compliant at Dynamite Point
CONSTRUCTION INFORMATION: III
onai wurK w oe
HVAC
Electric
errurmeu
unuer ims perm¢—cnecK all apply:
Gas Tank ❑Gas Piping _ Shutters ❑
Plumbing Sprinklers Generator 0
Windows/Doors
Roof
21
Total Sq. Ft of Construction: 245
Cost of Construction: $ 27500.00
Sq. Ft. of First Floor: 245
Utilities: 0Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name -r_7�— //IP LhJ- V "i
Address:3900 Commonwealth Blvd.
Name: 3ULIO C FORERO
Company: EMPORIUM CONSTRUCTION CORP
City: Tallahassee State: FL
Zip Code: 33399 Fax:850
Phone No.850-245-2466
Address: 1249 SE Santiago Ave.
City: Port St Lucie State: FL
Zip Code: 34953 Fax: 772-871-6459
Phone No. 561-929-6887
E-Mail: MAE.ROTH@DEP.STATE.FL.US
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: IMFO@REMPORIUM.COM
State or County License: GC 1514089
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION'LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: ANTONIONARANJO
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress:1oeea NW27 STREET
Address:
City: MIAMI State: FL
Zip: 33172 Phone: 305d71-0160
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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
commencin wo_rk or recording our Notice of Commencement.
_ Signature of 01
STATE OF FLf
COUNTY OF_
The for oing ins'
this day of
"70 ) tl
(Name of person
Lessee/Agent
a
20
(Signature of NotV, Public- State of Florida J V
Personally Known i OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
STATE OF FI
COUNTY OF
The f° ing instrument was
this / day of
(Name of person
(Signature of NotWPublic- State of
20 / CO by �I
w
v
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
(Seal)
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