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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r n ) Date: Permit Number: 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 x Residential PERM PPLICATIOOON FOR: To Select from dropbox, click arrow at the end of line Vista Blvd. Port Saint Lucie FL Legal Description: River Park - Unit 3 - E388.35 Ft of Track D as measured ALG The NLI of SD Track Map 341225 Property Tax ID q: 3419 - 515 -v0001 - 0003 Lot No. Site Plan Name: Port St. Lucie Shopping Center Block No. Project Name: Setbacks Front Back:_ Right Side: Left Side: DETAILED DESCRIPTION(OF],1VA( Demo front overhang of existing shops p,10 4g SY coo -j rro a IN 11HVAC LJ Gas Tank []Gas Electric 0 Plumbing 115pl Total Sq. Ft of Construction: Cost of Construction: $ 8700.0 nit — check all apply: Piping In _Shutters nklers F]Generator _ S Ft. of First Floor:_ Utilities: Sewer E]Septic QWindows/Doors Roof Building Height: OWNER/LESSEE. Cf i �� :>" ®NTRACTOR Namelg,h.4er Name: Ken Ringe Address:, 1z' Company: Bayview Construction Services City: %( /2 33YSTiate: li• Zip Code: !q 3 y 71P — % lot%O Phone No. — CO 4 3 r7 Address: 4826.SERailwayAve City: Stuart State: Fl Zip Code: 34997 Fax. 772.288-1337 Phone No. 772.283-9300i;4 if)i � (_p E-Mail: A'IAf% !!f ©D9P/KV-' d- Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: dot@bayviewconstruction.com State or County License: CGC 1520874 If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. SUPP.LEMENTAL,C(DNSTRU,CTION,LIEN ILAW IINFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: ADVANCE ARCHITECTURE& PLANNING MORTGAGE COMPANY: Name: N/A _ Not Applicable Address: Address: City: State: Zip: Phone:772-631-5709 City: Zip:. Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _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 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 worK Or _ Signature of Owner/ Lessee/Agent I k Gil W4to) iRU i it i iTa iT4-7 i 1W illl (W: W 5 Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFF � 6/t COUNTY OF 17n if The forgoing instrument was acknowledged before me this A'day of cV'Zorc I . 20� by lchrle i Z%� 104NOIe li (Name of person acknowledging ) L (Signature of of Notary Public- State of Florida ) Na r Personally Known R'Pr u dd I@ mmaw Type ofldentificatonPro *�YCOMMISSION/FF045735 o� o eIHES�cf6r26,2017 Commission No. 0Fn0"� BOA=nNofary6wkn Revised 07/15/2014 The forgoing instrument was acknowledged before me this oWdayofTc)nc- .20_L� by K-e I, Is-t n1� — (Name of person acknowledgiftl QR KAIPIY� (Signature of Notary P lic- State of Florida ) Personally Known d OR Produced Identification _ Type of Identification P. n'. DOROTHYKROM9s Commission No.r MYSfEf�'IpFF931�.s7 Q � : EXPIRES: NOvember2Z 2019 " ii•.kk¢ amdzdThmNutmyPublic UrdslmriPn REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS