HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.-
ALL APPL FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D e: 10/11/16
• - Permit Number: 1609-0272
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-•---7. SCANNED
BY
Building Permit Application St. Lucie County
Pfanningand Development Services
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: To Select from dropbox, click arrow at the end of fine
PROPOSED(IVLpROVEMENT.LOCATION
Address: 6783 S.-US 1„Port St Lucie, FL 34952
Legal Description: MODEL.IoM.+CO`S S/D OF SEC.15 3640 BLK 3 E 333 FT OF S 189 FT OF IL)T
2—LESS RD R/W — .(1.33 AC) )OR 2031—_2151)
Property Tax ID #: 3415-501-0039-020-9
Lot No. 2-
Site Plan Name: 6759 Plaza
Block No. 3'
Project Name: Carol's Beauty Salon —
Setbacks Front . _ Back: Right Side: Left Side:
DETAILED DESCRIPTIONbF,WOftK'
ii 1 a
Restoration o a tenants beauty salon in a small strip shopping center due to a customer driving her
vehicle into the store (1200 SQ.FT.)
CONSTRUCTION tNFOR'IVIATION` � "°' �
w _� ��,( ,�
Aclultional work ti ree s perimt-ea ' apply:
�GasTank ❑Gas Piping _Shutters •Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Roof pitch,
Total Sq. Ft of Construction: - 1, 200 Ft. of First Floor: 1, 200
CostofConstruction:$ 10,000.00 Utilities: SewerQSeptic Building Height: 15'
O.W,fVER/LESSEE: ^ r ;;
CONTRACTOR = .
;r
Name —Christine . Vitolo, Trustee Name: Brian E.. BatUe
Address: P.O. Box 24903 Company: R & B General_ Contractors, Inc.
City: Fort Lauderdale Stater_. Address: 8198 S. Jog Rd Ste 20.
Zip Code: 33307 Fax: 954-462-3235 City: Boynton Beach State: FL
Phone.No. 954-763-5488 _ Zip Code: 33472 -Fax:
E-Mail: christinevitolo@aina; t . phone No. 561509-7680
Fill in fee simple Title Holder on next page (if different E-Mail: bbatti -gc.com
from the Owner listed above) State or County License: CGC1522163
If value of construction Is $2500 or more, a RECORDED Notice of Commencement 15 required.
r
_ rvut rtppucaoie
MORTGAGE COMPANY: 2QL Not Applicable
Name:-_ Kres Mihelich Architect Name:
Address: 232 sandal Lane Address:
City: calm Beach Shores State: FL Ci
Zip; 33404 Phone: 561 78 5— 303 � State:
Zlp: - Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: >RNot Applicable
Name: Christine vitolo Trustee Name:
Address: PO. Box 24903 Address:
City: - Fort Lauderdale FL
Zip: 33307 Phone:_. 954-763-5488 Zip: Phone:
I certify that no
work or installation has commenced prior to the issuance of a permit.
which is in conflic makes any applicable Hom at OwnerstAssociaationirulesauthorizear and covenants that build
drestrict or prohibit such
structure. Please consult.wrth 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 rarnrdinounu, s
(&9d
Signature of Owner/Lesse ntract r as Agent for Owner Signature o Contractor/License Holder S
STATE Of FLORIDA STATE OF FLO�I�A
COUNTY OF haldd-r-d COUNTY OF_ `{ t+; j i h��/
The forgoing instrument was acknowledged before me The forgoing instru ent was acknowledged before me
this L2CAday of_�GfO/Jr/ .20&-by this J_Lday of eX .20L.by
__ �.h�i5�rr �r�/o %ysfti '�rir�n �.�•+le
(Name of pe�rsonraYc/kn/on/wledging) (Name of person acknowledging) j
(Signature of Notary Pu/blic-State of Florida) '(Signature of Notary Public- State of Fl a )
Personally Known 'tom OR Produced Identification _ Personally Known i4 OR Produced Identification
Type of Identifcation Type of Identification -Produced
Commission No,
Revised 07/15/2014
REVIEWS
REVIEW
SUPERVISOR
REV
PLANS
VEGETATION
SEATURTLE
MANGROVE
DATE- _
EFRONTZONING
REVIEW
REVIEW
REVIEW
REVIEW
COMPLETE
INITIALS
All APPLICABLE INFO MUST BE C06w ETED FOR APPLICATION TO BE ACCEPTED
Date is �% �QC% SC Permit
itLNumber: I �o( lq ^BY
St UcieCoimt� EzI VLE
p
Building Permit Application SEP 15 2016
Planning and Develop ent 'ervices PERMITTING
Building and Code Reg la ion Division St. Lucie County, FL
2300 Virginia Avenue, F Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ✓ e idential
PERMIT APP CATION,FOR:
; KUf UJtU INY , ULNItN
I LULAI IUN:
Address: 1 U
\ .
Legal Description:
Property Tax ID #: 3 15 - 4Q1 - 06\279� - �-67 of No._�
Site Plan Name: Block No. 2)
Project Name: 6-15,R laza
Setbacks Front Back: RigSide: Left Side:
D.�AILED DESCRIPTIOWCIF WORK."
Pes rn�ic�t� p a iG n}S
s a r
A< Ue- 10� \ 5 ' SVlQ ke,f 0e62.\e-
'AkkA Q2 /
CONSTRUCTIONTeINFORMATION:
. su..
a
. ..#. ,. __• ". i-.- ^ Grp ,.w?' ,'
Additional wor to be pertormed unctertnisp,r rt — c ec a t at a y:
'
Windows/Doors
_Mechanical _Gas Tank Gas Piping _S\nr
Electric �lumbing _Sprinklers _GRoof Pitch
Total Sq. Ftof Construction: 00 Sq. Ft. of FirsDDCost
of Construction: $ t7 Utilities: _Sewer Building Height:
DINNER/LESSEE:
4a i
'GONTRAZ"(OR:'`
;x,
Name
Name:
tl(l1Gcws
c
; S
Address: po 3���a""�C
Company:
1Vl NI
' CS S Slr�hdn (h
City: awe[
Zip Code: rjg3a
Phone No. ClS
Stater
% / ax: a 3059
('
Address:
33
boa 16i
alS
City:
Zip Code:
Phone No
i
S3'!I&
6tX430
State: FL_
Fax:(oa
/ $ G'050
0-76
E-Mail:
Fill in fee simple Title Holder on ne$J page ( if different
from the Owner listed above)
E-Mail
Nti7 chC@ t �
State or ounty License CSC 13S5la 0
I If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALC(QNSTRUCTIpN LIEN,LAW INFORMATIONS -'
x. ,
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: K _ lv1 they a� Name:
Address: ' 3A an Address:
City: Stater City: State:
Zip: '3� rJ Phone Zip: Phone:
FEE SIMP( TIT�M)ER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: 1le� fi )) Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no reptesentatiorothat 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 consul 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 plaris,,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications'5P6 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 our Notice of Commencement.
X.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFF,
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _ day of `. by
this_ day of 20 by
120_
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. //LU14
City: -
Zip: '513 Phone
FEE SIMP TIT H DER: Not Applicable
Name:
��n
Address:
City:
Zip: Phone:
Address:
City:
Zip:
BONDING COMPANY: _Not Applicable
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 ermit holder to build the subject structure
which Is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit.such
structure. Please consult with your Home owners Association and review your deed or any restrictions which may apply.
In consideration of the granting of this requested permit, I do he 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
commencine work or recording your Notice of Commencement.
Signature of Owner/ L/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY Of -
The forgoing instrumen was a knowledged before me
this day of� by
l`�ne�S VIA 0A0
(Name of person acknowledging)
Ux-A),'
( ignature of Notary Public- State of Florida )
Personally Known If OR Produced Identification
Type of Identification
Commission No.
z EE g(17ys
Signature of COntraLWr License Holder
STATE OF FLORIDJ't
COUNTY OF
The forgoing instrument was acknowledged before me
thistlay of � o,�.�:�',�,!'/ • 20� by
AAA U5
(Name of person acknowledging )
(Signature of Notary Public- State of Florida)
Personalty Known ORPSd�e��s�cation
Type of Identification
017V5
REVIEWS I COUN ER I ZONING REVIEW I SUPERVISOR
I PLANS I REVIEW VEGETATION RIS R VIEW ANGROVE
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