HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12 / 14 / 2016
Permit Number:
"1=_ SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Foundation III
Address: $-
Legal Description:
Property Tax ID, #: _�,y13 S,—
site Plan Name: The Grove Community Association, Inc.
Prniect Name: Water Plant Replacement Ground Storage Tank
Setbacks Front Back: Right Side; Left Side:
Concrete foundation and bolted steel tank construction with dome.
❑HVAC U Gas Tank ❑Gas Piping
Electric Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction; $ 292,932
Name The Grove Community Association, Inc
Address: 5890 S. US 1 - -
Lot No.240, 1
Block No. A & B
Shutters Q Windows/Doors
Generator L Roof
S Ft. of First Floor:
UtilitiestSewer 11 Septic
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.772-468-1884
E-Mail: aliman.larry@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name: 'T%000.5 /1. bOMe.lc Ar '
Roof pitch
Company: Florida Aquestore
Address: 4722 N.W. Boca Raton Blvd., Suite C-102
City: Boca Raton State: FL
Zip Code: 33431 Fax: 561-994-2444
Phone N 561-994-2400
E-Mail: LO -Mori-A4'V9S 'Lev1')
State or County License: CGC 1524 67
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: V Not Applicable
Name: EwrgrwnEngineedn,lne Name:
Address: aoo Nonh calmado Avenue Address:
City: swan State: FL City: State:
Zip: 34994 Phone: 772-223-1005 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: ✓Not Applicable
Name: Name:
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 Counttyy makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in cc 1 ict with any applicable Home Owners Association rules, bylaws or anscovenants 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 Iwill, 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
cnmmencine work or recordine vour Notice of Commencement. i
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF AY/ COUNTY OF Cc 79 C1P ct dh
The for�g�gIng instru ent was acknowledged before me The forgo 9 fnstru ent was ac�j ✓•ledged before me
this �7dare'044t""_I�A
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(Name of rson acknowledging) (Name of pert n acknowledging )
Signature of Notary Public- State of Florida) (Si at re of Notary ublic- State of Florida_)
Personally Known V OR Produced Identification Personally Known �/ OR Produced Identification
Type of Identification Produced Type of Identification PKRAMER
' f'��'j�e F; Not� gHbllc • State of Florida
Commission No. f F �I /� 12 j� (Seal Commission Noµ
•_ dommiseian N FF 913128
•,,,e� p�„ MARIA KRAMER "=,;x, ,` My Comm. Expires Dec 18. 2019
r o bum • e t on Notary sn.
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Revised 07/15/20Cammisslan M FF 9i7t?8
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
RE U EW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETEan
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INITIALS
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