HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOltWEi ATION TO BE ACCEPTED 1
Date:114/2017 SC BY Permit Number: /:�D
�t,�uc�e��unty
Building Permit Application
Planning and Development Services JryN c 1�17
Building and Code Regulation Division F1 Y
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Other
PROPOSED iMPROVEMENT_LOCATION:'
Address: 4451 St. Lucie Blvd, Ft. Pierce, FL 34946
Legal Description: 3134 40 W 1/2 of NE 1/4 less N 118ft for RD and Canal RS/W (18.62 AC) (or 1335-2036)
Property Tax ID #: 1431-112-0001-000-8
Site Plan Name: Betkor Properties
Project Name: Jacquin and Sons
Setbacks Front Back:
-
I Metal Canopy installation
Right Side: Left Side:
Lot No.
Block No.
a/n0I YYVIIL LV W
E1HVAC
Iwl ulcU
Tank
uuVCI ulu
E]GasPiping
PCI IIIIL— WICUR all
dpply.
❑Windows/Doors
_Gas
_Shutters
11 Electric 0 Plumbing
[]5prinklers
Generator
g
Roof Roof pitch
Total Sq. Ft of Construction: 5
_5' -h • Sq. Ft. of First Floor:
Cost of Construction: $ 20.000
Utilities:Sewer
Septic
Building Height:
OWNER/LESSEE:
CgNTRACTOR:
NameBetkor Properties
Name: Matthew Carroll
Address:4451 Saint Lucie Blvd
Company: Hoover Canvas Products
City: Fort Pierce State:FL
Zip Code: 34946 Fax:
Phone No.772-409-1011
Address: 5107 Australian Ave
City: West Palm Beach State: FL
Zip Code: 33407 Fax:
Phone No. 561-844444
E-Mail:john.herring@altruss.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: noeim@hoovercanvas.com
State or County License: CBC1258905
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
(',SUPPLEMENTAL CONSTRUCTION --LIEN LAW INFORMATION: III
DESIGNER/ENGINEER: _ Not Applicable
Name: T= A5s,cr'a4e S L
Address: Co. 0 e U;lf Zo 2
a City: We w 2aC State:ri
Zip: 33407 Phone: SG /- q78- /%sr_�
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: -
Address: -- -- -
City: State:_
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 Commencement.
CL�7j��il r� s
asAgent f Signatureo Contr ctor icenseHolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF J -f Lac, . Coil i bt COUNTY OF S4 • Cu ry (ov�J_l
The forgoing instrument was acknowledged before me
this 5' day of _) c20 r by
Er., G6�'
(Name of person acknowledging )
(Signaf9"re of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
The forgoing instrument was acknowledged before me
this 4 day of )anun,r 120 1) by
F_-(`.1 GrxR.,
(Name of�cknowledging )
( ignature aMotary Public -State of Florida )
Personally Known )6 OR Produced Identification
Type of Identification Produc-A
Sr"•�Y•'s ERI,C AREY
Commission No. : S€ C2sicnk FF027126 C mmission No.
^},^ Expires June 13, 2017
Revised 07/15/2014
:027126
2017
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS