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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE C0` �'.ETED FOR APPLICATION TO BE ACCEPT"1 ^�© I Date: SCANNED Permit Number: ' J BY ' UERv St. Lucie ftnty MAR - 6 2016 Building Permit Application Public works Planning and Development Services St. Lucie County, FL 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 line Address: 2800 N Highway Al Fort Pierce, FL 34949 Legal Description: 14-25-705-000009M©o Property Tax ID #: Site Plan Name: Project Name: Barclay Beach Club Setbacks Front Back: Right Side: Left Side: Remove and reaplce hollow metal door and frame on storage room Lot No. Block No. rtuumonai work co De errormeci unuer tnls perm¢— cnecK an apply: rn OHVAC Gas Tank DGasPi. - _Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers E Generator 11 Roof Roof pitch Total Sq. Ft of Construction: S� FFttj of First Floor: Cost of Construction: $ 3,211.94 Utilities: Ft Septic Building Height: OWNER/LESSEE: CO NTRAC�TiQ�� Name ar010-Qac COLA b /ot irSY eViCe Name: Gerald Hiebert Address:$o 5 Co, (d ro ct, I to a. su +e Zo Company: CDA Solutions Inc. BDA Commercial Door and Access City: VQ fO pO_I-GV1 State: EC. Zip Code: 3 2-Cl CD t �3 Fax: Phone No. A 1v Address: 7622 Emerald Drive City: West Melbourne - State: FL Zip Code: 32904 Fax: 321-674-9143 Phone No.321-951-9533 E-Mail: Le'Y%rcdr )12fo-csres,a(eni,).�oM Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: dispatch.cda@gmail.com State or County License: C6C1254828 It value of construction is 52500 or more, a RECORDED Notice of Commencement is required. WON ®NS�TRI1CµLIENLAININF®RMATION, s = > s DESIGNER/ENGINEER: "A Name: Not Applicable MORTGAGE COMPANY: Name: "A Not Applicable Address: Address: City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY: Name: NA 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 recordine vour Notice of Commencement_ Signature of Owner/Lessee/Contractor as Agent for Owner s Signature of Contractor/License Holder - STATE OF FLORIDA STATE OF FLORIDA COUNTY OF $Ye�V G ►rC1 COUNTY OF 3re.vo.,r of The forgoing instrument was acknowledged before me this 44 dayof NOVR_rnbr_V 20)(pby Cr► e-rAJr✓� 4t21p V-+- (Name of person acknowledging ) O'�A-eG(Qfe z&-l-� (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. CHELSEA DEBOLT The forgoing instrument was acknowledged before me this _q_day of NoV$mke✓ .20 L%4_by C e rc41C1 _�H:e beVr+ (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known _X— OR Produced Identification Type of Identification Produced Commission No. (Seal) • '';" CHELSEA DEBOLT __ My Comm.CemmExpires 1,2018 d�ro• a,-, Revised 07/15fJE(i se Commission # FP 128139 •* ;E Notary Public - State of Florida 111 y My Comm. Expires Jun 1, 2018 ••,nano••vulifillissiOn # FF 128139 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGE A 0 E COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE J l INITIALS