HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONis -
ALL APP CAABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l�5 ��D �6Q8 r Permit Number:
7�pC- �R SUMNNED
s _ BY RECEIVED
�d PSCcQ St. Lucie Countv
Buil ing ermit Application AUG 2 9 2016
Planning and Development Services p ERM ITTI NG
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL34981 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xxxx Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 6666 S US HWY 1 #3
Legal Description: Account#: 41470 Map ID: 34/15S Use Type: 1600 Zoning: CG City/County: Saint Lucie County
Property Tax ID #: 3415-501-0065-000-4
Site Plan Name: St Lucie
Project Name: New York, New York Arcade
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
a ge/„(J e:,.-sY,
-/L� /Ez �
I CONSTRUCTION INFORMATION: 1 J III
0-HVAC L1 Gas Tank
Electric Plumbing
Total Sq. Ft of Construction:_ u Jv
Cost of Construction: $�
Piping "Shutters
Generator
r T•
5 Ft of First Floor: _
Utilities Sewer 1:1Septic
Windows/Doors
11 Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Peter Maselli
Name: Timothy R Davis
Address: 6666 S US 1 #3
Company: TRB Contracting Inc
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772-260-1305
Phone No. 772-260-0758
Address: 7548 S US 1 #200
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772-0260-1305
E-Mail: nynyarcadecorpCmgmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Trbincl @aol.com
State or County License: CGC 1506848
...a.,...,, aunsuucuon is;, auu or more, a net.unutu Notice or commencement is required.
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I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I((
Name:
City:
Zip:.
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name: stwaeEmu-c
Address: POB=17-0m8
City: KW-h
Zip: FL Phone: 33017
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 1 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
_ Signature of Owner/ Lessee/Agent .TA1�
STATE OF FLORID
COUNTY OF "� I l (� e
The forgoing instrument Wwa�s acknowledged before me
this 21 day ofT 20 (_LbyAA ��,,nn
in A �l r2vi� lQe/tf lVli
( o rson acknowledging )
(Si ure of Notary Public- to of Florida )
Personally Known °!sk@duced �F
Type of Identification Pro_daig iA „ IIYCOMMIS ONO 07
Commission No. + 0n�o BWddNWItkW
Revised 07/15/2014
(Z—. I� ) � S
Signature of Contracto Ucense Holder
STATE OF FLORID
COUNTY OF�- J(, ��i�ot���In�i
, N
The forgoing instrument was acknowledged before me
this a�( dayof /%f;)= 20 1�, by
(Name of person acknowl
dA tZ I
(S"gnat of Notary Public-Stati
Personally Known L, OR Pr
Type of Identification Produced_
Commission No.
. JEANA FRIEND
)ggEXPIRES: October 14, 20ig
lentlr4igbon'IF1 Nahry Snka
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER-
REVIEW
R
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALL APP CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 25 ���6Q8 Permit Number: to
RECEIVED
' PSCCEQ
_�d
-Buil ing ermit A00li JWn AUG 2 9 2016
Planning and Development Services
Building and Cade Regulation Division St. Lucie County PERMITTING
St. Lucie County, FL
2300VrginioAvenue, Fort Pierce FL34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial )a= Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 6666 S US HWY 1 #3
Legal Description: Account #: 41470 Map ID: 34/15S Use Type: 1600 Zon- : CG ity/County: Saint Lucie County
Property Tax ID #: 3415-501-0065-000-4
Lot No.
``
Site Plan Name: St Lucie Sqare r �� Block No.
Project Name: New York, New York Arcade
Setbacks Front Back: Right Side: Left.'de: .
DETAILED DESCRIPTION OF WORK:I'
EK,SJ,�f 0.414,toair 72;- A J>L Ad.Q
CONSTRUCTION INFORMATION:
ACcittional work to ene( orme un er t rs permtt a apply:
❑HVAC LJ Gas Tank Gas Piping endows/Doors
_Shutters
Electric Plumbing �jfnreg Generator Roof
Total Sq. Ft of Construction: ' s= ' dd,� � Ft of First Floor.•
Cost of Construction: $ ` Utilities:l Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Peter Maseir,
Name: Timothy R Davis
Address: 6666 S US 1 #3
Company: TRB Contracting Inc
Cm,: Pon St Lucie State: FL
Address. 7548 S US 1 #200 -
Zip Code: 34952 Fax: 772-260-1305
City. Port St Lucie State: FL
Phone No. 772-260-0758
Zip Code: 34952 Fax:
E-Mail: nynyarcadecorp@gmail.com
Phone No. 772-0260.1305
Fill in fee simple Title Holder on next page ( if different
E-Mail: Trbincl Ca)aol.com
State or County License: CGC 1506848
from the Owner listed above)
If value of construction is $2S00 or more, a RECORDED Notice of Commencement is required.
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