HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLL•_ ^ FOR APPLICATION TO BE ACCEPTED t ..
Date: 09/30/2016 Permit1. .Number:
��_•-__, SCANNED
RECEIt.'- "30 " St LuceCounty
Building Permit Application
Planning and 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: Renovation
PROPOSED„QIIPRQUEIVIENT,LOCATfON • '- ` - �' " - .:." � ^=
Address: 901E PRIMA VISTA BLVD, PORT ST LUCIE, FL 34952
Legal Description: RIVER PARK -UNIT 3-E 388.35 FT OF TRACT D AS MEASURED ALG THE NLI OF SO TRACT
(MAP 34/22S) (OR 2622-1580 THRU 1592)
Property Tax ID #t: 3419-515-001-000-3 Lot No.
Site Plan Name: Block No.
Project Name: MARCO'S PIZZA
Setbacks Front Back: Right Side: Left Side:
DETAILED;DESCRIP._;jO ,OF,WORK =
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iz J._ .k .,+a1'uf .✓n h i, % r ;>%& .$3 k t.fl-Y.
bt/;)oCa�k CC- P7-Lzt f-u u ro'A.
Total Sq. Ft of Construction: IWO
Cost of construction: $ 62, o-0*
ng UShutters ❑Windows/Doors
!rs 1:1 Generator E] Roof
S Ft. of First Floor: Al %d)
Utilities:cnSewer zSeptic Building Height:
Roof pitch
'CONTRACTOR �-
.z.
Name RAO'S OF SLW, LLC
Name: /M -r/ A a A{#ne5-j
Address: 2365 OLD RAVEN LANE SW
Company: lAq-
City: VERO BEACH State: FL
Zip Code:32962 Fax:
Phone No. 772-696-4769
Address: W C-7R5 6bC*--E c=(
City: 67AC8,rsk2ES State: iz—
Zip Code: 3 3 LF 131 Fax:
Phone No. (5-?; i ) 3 0— 1rL I tF°
E-Mail: RAO@MARCOSPIZZA.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: A LA ' ���GjSE2y @ G�M/h r Ca
State or County License: a 6)c I So 6-9 6 '1--
it value of construction is >zouu or more, a RECORDED Notice of Commencement is required.
1SUPPLEMEN7A LCONSTRUCTIO
�4`iw•:�+x�4$
N L'AWrJNFORIVIATION:: �'°+'
�'
DESIGNER/ENGINEER: _ Not Applicable
Name: GARCIA SEUFERTARCHITECT, INC
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 122 w 122ND AVENUE
Address:
City: TAMPA State: FL
Zip: 33612 Phone: 813625-6061
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X 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
commencing work or recording vour Notice of Commpnrpmpnr
/ti fi �� , s
Signature o wner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF '--C. COUNTY
The forgoing instr ment was acknowledgecpefore me The forgoing instrument was acknowledged before me
this l day of S, 20 Eby this�a day of �2 0 20 V by
%1l oral ��cckkd �- `M > �� q2 G\'tl \n I'\"
(Name of person ackll�wledging) (Name of person acknowledging)
(Signature of Notary Pub -State of Florida) (Signature of Notary P c-State of Florida )
Personally Known OR
Type of Identification Produces
Commission No.
Revised 07/15/24 —
Known OR
Type of
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
rJ 11
1
e
Q•e'
INITIALS