HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED m
Date: SCANNED Permit Number: I IoOS ' Oy l io
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
RECEIVIF
MAY 05 2016
PE 177INC
St. Lucie Cour•
PERMIT APPLICATION FOR: Renovation III
■]TaTMOL937ILTAI : • • •
Address: 6607 Deleon Ave. Ft. Pierce, FL 34951
Legal Description: Lakewood Park-Unit9-Blk 107 Lot 7(Map 13/01 N) (Or 1560-888)
Property Tax ID #: 1301-611-0142-000-0 Lot No. 7
Site Plan Name: N/A Block No. 107
Project Name: The Deleon Residential Facility
Setbacks Front 28' Back: 20' Right Side: 18' Left Side: 27'
DETAILED DESCRIPTION OF WORK;
Renovation of existing carport and garage into three new bedrooms and one new bath. All work will
be done under the existing roof and footprint of the house.
%' r n 1
CONSTRUCTION INFORMATION: ICl'Ee—I�S,e
itiona or to e e orme un ert ispermit—c ec a apply:
❑✓ HVAC E] Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Z✓ Electric ✓❑_ Plumbing ❑Sprinklers 1: Generator 0 Roof
Total Sq. Ft of Construction: 1,200 S'c Ft. of First Floor: 3,454
Cost of Construction: $ 185,118.00 • Utilities: .Sewer ZSeptic Building Height: 14'
OWNER/LESSEE: `
-CONTRACTOR:
Name ARC of St. Lucie County Inc
Name: Doug Davis
Address: PO Box 1016
Company: Richard K. Davis Construction Corporation
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-465-7050
Phone No. 772-468-7879
Address: P.O. Box 186
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-465-7665
Phone No. 772-461-8335
E-Mail: rmrslarc@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: bmclam@rkdavis.com
State or County License: CGCO13084
IIIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
ILA"
l-SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
MbIGNLK/LNGINEEK: _ Not Applicable MORTGAGE COMPANY: NIA Not Applicable
Name: PauiWelchtno. Name:
Address: tsaa S.W. Biftore St. Suite u114 Address:
City: Portst.Lucie State: FL City: State:
Zip:34984 Phone:772aassees Zip: Phone:
FEE SIMPLE TITLE HOLDER: NIA Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
_Not Applicable
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 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.
Se= ci J�
_Sig a ur O ner/ es ee/Agent
STATE OF FLORIDA 1
COUNTY OF 504Wn ,
(fir o L.., O-Avw s
Signature of ontractor/License Holder
STATE OF FLORIDA
COUNTY OF -J::L IaOlhr
The forggyging instument w s acknowledged before me The forg g instrument was acknowledged before me
thi�l—�lay of .1�N1� 201Sby this day of _ �EGEifIB� . 20 Z% by
(Name of person ac nowledging )
(Signature of Notary Public -State of Florida )
Known _g OR
Type of
person
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
ype of I enti ica ion Produced
Commission No.�t�RV mYCM(U%,_I&Zdtg I Commission No.
Revised 07/15/2014
ROGER A. PRIEST
Notar `Ik `State of Florida
hny Comm. Expires Nov 7, 2016
.. -. .one]
Bonded Through
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REV W
REV W
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
S1
6
INITIALS
Ty