HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
� �� Date:5-2516 Permit Number: /! (zi l ,/XJ-a
- ' --- - '- SCANNED
Building Permit Application
BY
Planning and Development Services St. Lucie
Building gnd Code Regulation Division Coun
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: -
Address: 8630 S. US Highway 1, Port Saint Lucie, FL 34952
Legal Description: ST LUCIE GARDENS 26 36 40 THAT PART OF BLK 3 LOT 15
Property Tax ID It: 3414-501-1915-1601 - - --Lot No.15
Site Plan Name: RaceTrac #1136 - Block No. 3
Project Name: Savanna Club
Setbacks Front 172.92 Back: 161.81 Right Side: 121.12 Left Side: 96.28
DETAILED -DESCRIPTION OF WORK:
of a 298 ft. masonry retaining wall at storm pond h l W 7°f {f a� ref, ✓q l/ i'
'Construction a
7
CONSTRUCTION INFORMATION:
Additional work to a rorme u_n_ert ispermit—c ec a - appy: `
E1HVAC CGasTank ❑Gas
Piping Shutters ❑Window_ s/Doors
Electric 1:1Plumbing [:]Sprinklers
Generator Roof
Total Sq. Ft of Construction: S : Ft. of First Floor:
Cost of Construction: $ .30 000 p % Utilities. Sewer oSeptic Building Height:
OWN ER/LESSEE' - '
CONTRACTOR:
Name RaceTme Petroleum Inc.
-Name: Jason Mulligan
Address:3225 Cumberland Blvd, Ste:100
Company: Mulligan Constructors Inc.
City: Atlanta State: GA
Address: 1027 W. Lancaster R&
Zip Code: 30339 Fax: 678.556.-1433
City: Orlando ' FL
Stater
Phone No. 77OA31-7600.
Zip Code: 32809 Fax: 407-654-7597
Phone No. 407-654-6523
E-Mail: arudisel@raceiraaeom
Fill in fee simple Title Holder on next page ( if different
E-Mail: )mulligan@mulliganconstructors.com
from the Owner listed above)
State or County License: CGC1510462
If value of construction Is$2500 or more, a RECORDED Notice of Commencement
It required.
0
.ti
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: II
....,.,'I� I�,.���.«�: _rvocHppucaofe MORTGAGE COMPANY: K Not Applicable
Name: Hm FtleyRmsl6AssoaJeAreyT.Hi9.RA Name•
Address: Aso rimunt Hu Rd. sie. zoo Address:
City: ommn State: GA Cit
Zip: 30096 Phone: (770)e22-ea5a Y: State:
Zip: Phone: 11
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit.
which Is inoconflictawith anrepresentation
applicable' Home Owners Assocla tlon rulesauthorize
bylaws or the
nants that build
ay 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,
accessorystru ures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING 10 OWNER: Your failure to Record a Notice of Commencement may result In your paying twice for
improvem nts to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the irst inspection. If you intend to obtain financing, consult with lender or an attorney before
commenci work or recording our Notice of Commencement. r
I �_ 5
_Signature of Owner/ Lessee/Agent 5(gnatude of Cgntract r LIc se Holder
STATE OF fk9g¢ Georg �,
COUNTY OF_ (SLl^�f iOle
The for � oing instru;�jent was acknowledged before me
this �Qdayof Mny 20[LP by
1 W�I l lia(n C Mi l(AM
(Name of person acknowledging)
(signature of Notary Public -State of Flerida-) &ebr(
Personally Known—LOR Produced Identification
Type of Identification Produced_____,,.,- - - -
Revised
STATE OF FLOWA
COUNTY OF W- GV-)QL
The forgoing instrument was acknowledged before me
thisof%M� , 20 '1�- by
Known
Commission
OR Produced Identification
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE_
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS