HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
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ALL APPLICABLE INFO MUST BE COMPLETEDTOR APPLICATION TO BE ACCEPTED //��
Date: Permit Number: i �! /��0 106 0
-�5 RECEIVE®
Building Pern"l�pAicion FEB .a 4 2017
Planning and Development Services
Building and Code Regulation Division AB rq PERMITTING
2300 Virginia Avenue, Fort Pierce FL34982 43NNVOS St. Lucie County, FL
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 III
Address: 7710 US Federal Highway 1, Port St. Lucie, FL 34952
Legal Description: 22 36 40 THAT PART OF N 265.62 FT OF S 665.62 FT OF SEC LYG E OF US 1 (3.13 AC) (OR 1538-1358)
Property Tax ID #: 3422-441-0004-000-8 Lot No.
Site Plan Name: Coastal Orthopaedics Block No.
Project Name: Coastal Orthopaedics
Setbacks Front Back: Right Side.ZE • Z_;�eft Side:
Addition of 2,500 s.f. to existing medical office building
UIIGI WUI A LU uc
HVAC
IIUI IIICU
Gas Tank
U I IUCI LlllD pC111 O1—wcbn au
E]GasPit
Opply.
Windows/Doors
-
_Shutters
Electric
❑✓_ Plumbing
❑✓ Sprinklers
E]Generator
W1 Roof = Roof pitch
Total Sq. Ft of Construction: Additional 2,500 %�� S Ft. of First Floor: same
�� Existing
Cost of Construction: P+ Utilities: Sewer Septic Building Height: 9
n /
,,OWNER/
,ESS_EE
GONTRAGTOR t ``
Name Bones Acquisition LLC
Name: Steven C. Hooks
Address:7710 US Hwy 1
Company: Hooks Construction Co.
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No.
Address: 2211 S Kanner Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-237-3757
Phone No. 772-905-7622
E-Mail: mail to GC
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: steve@hooksconstruction.net
State or County License: CGC061217
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPFLEMENTALCONSTRUCTION'LIEN LA1NrINFORfVIATION �.
DESIGNER/ENGINEER: x_ Not Applicable
Name:
MORTGAGE COMPANY: — Not Applicable
Name: WA
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: x Not Applicable
Name: NIA
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 Oran 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
commencingwork or recordingour Notice of Commencement.
L 4" 6;r 4 s
Signature of Owner/Lessee/Contractor as Agentfor Owner I Signature of Contractor/License Holder
STATE OF FLORIDA �-STATE OF FLORID
COUNTY OF ZZ4 �a trxo_, COUNTY OF a L:�
The forgoing instrument was acknowledged before me The for g instru was acknowledged before me
this �day of2R L 3 . 20 aby this �ayof� 2p L7by
(Name of person acknowledging) (Name
(Signature of Notary Pubkb- State of Florida )
Personally Known OR Produced Identification
TypQ of Identification Produced
00--�83.'�•ato I'D
Commission No. _ (Seal)
Revised 07/
LASHAHNAINGRAM
My Comm. Expires Dec 20. 201 B
Commission # FF 177249
of Florida )
Personally Known - `" OR Produced Identification
Type of Identification Produced
No.
HOLr lI1MODY
Notary Public - Slate of Florida
_•. .•
••'; or r.$P
Commission # FF 067186
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