HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Y 26, 2016 IICQO rnn
Date: May Permit Number:
NNED
Building Permit Application SCABY
Planning and Development Services St. Lucie Countv
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
Address: 4400 Fairwinds Drive, Fort Pierce
Legal Description: Please see attached.
Property Tax ID #: 1419-334-0001-000-2
Site Plan Name: FairwindsGolf Course
Project Name: Restroom Renovations
Setbacks Front WA Back: N/A Right Side: N/A Left Side: N/A
DETAILED 'DESCRIPTION AF WORK:
Interior demolition of restrooms and renovation to meet ADA standards.
Lot No.
Block No.
CONSTRUCTION INFORMATION: s ;
ltiona wor to e e orme under tispermit—checka apply:
11HVAC E] Gas Tank Gas Piping _ Shutters a Windows/Doors
❑✓_ Electric 0 Plumbing OSprinklers ElGenerator 0 Roof
Total Sq. Ft of Construction: 375 sq. ft.
Cost of Construction: $ 20,000.00
S Ft. of First Floor: _
Utilities:n Sewer W1 Septic
Building Height:
OWNER/LESSEEz
CONTRACTOR
Name St. Lucie County
Name: Owner/Builder-St. Lucie County
Address: 2300 Virginia Ave
Company: St. Lucie County
City: Fort Pierce State: FL
Zip Code: 34982 Fax:772-462-1444
Phone No.772-462-1432
Address: 2300 Virginia Ave
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 4772-462-1444
phone No. 772-462-1432
E-Mail: flynng@stlucieco.org - Jerry Flynn, Project Manager
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: flynng@stlucieco.org - Jerry Flynn, Project Manager
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:..
DESIGNER/ENGINEER: _
Name: Peter Jones
Not Applicable
MORTGAGE COMPANY:
Name: WA
_ Not Applicable
Address: 230ovrginiaA a
Address:
City: Fort Pierce
Zip: 34082 Phone: 462-1600
State: FL
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: _
Name: NSA
Not Applicable
BONDING COMPANY:
Name: NSA
_Not Applicable
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 holderto 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
s
Signature of Contractor/License Holder
STATE OF FLORIDA ff STATE OF FLORIDA
COUNTY OF r• LaCAPI COUNTY OF
The forgoing instrument was acknowledged before me
thisaday ofM 22"T 20 Ib by
i'l�la� /ga-If-u.Q.ee.
(Name.of person acknowledging)
Ia.
iPature of Notary Public- State of Ijlorida )
Personally Known
Type of Identificatj�
Commission No.
Revised 07/15/2014
OR Produced Identification
lf6".1
2016
The forgoing instrument was acknowledged before me
this _ day of
(Name of person acknowledging )
20 _ by
(Signature of Notary Public -State of Florida )
Personally Known _
Type of Identification
Commission No.
OR Produced Identification
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS