HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: , Permit Number: �1
RECEII.'7D JAN 18 2017
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
d3a3
SCANNED
St. Luc Ye
County
Commercial XX. Residential
PRMIT EAPPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED'11111PRC!VEIVIENTLOCQTIO�V„_
Address: 3366 S 25TH ST., FORT PIERCE, FL 34981
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Legal Description: 28 35 40 FROM SW COR OF NW 114 OF SW 1/4 OF SEC RUN N AUG SEC LI 691 FT FOR POB TH E MH S LI OF NW 114 OF SW V4 663.29 FT TH N 423.84FT
Property Tax ID #: 2428-322-0002-000-3 Lot No. '
Site Plan Name: Block No.
Project Name: STORYBROOK PRESCHOOL ACADEMY LLC
Setbacks Front Back: Right Side: Left_Side:
INSTALL PLAYGROUND STRUCTURES
UHVAC U Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 8.081
Cost of Construction: $ 14,115.80
- cnecK dH dppiy:
ng shutters El Windows /Doors
ors Generator 'i Roof Roof pitch
S Ft. of First Floor: "
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE''
3 «5.S.'YV
CON7RACTORlf:
NamejdAWNUNE2,-,;,,-, '- '�.-,'
Name: WESLEY CHARLES TRIPP -
A'ddress:`3366 S 25TH ST.
Company: NPC INSTALLATION COMPANY, INC.
City: FORT PIERCE State: FL
Zip Code: 34981 Fax:
-Ph6ne-No.561-779-5823_
Address: 405 GOLFWAY WEST DR.
City: ST AUGUSTINE State- FL
Zip Code: 32095 Fax: 904-808-8529
Phone No. 904-417-6129
E-Mail: Juan.Nunez@storybrookeacademy.com
- Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E-Mail: donnas@npcinstall.com
State or County License: CBC1256160
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ElN,'LAW'INF0RNIAT, ION:
EER: n _ Not Applicable I MORTGAGE COMPANY:
City:
Zip:_
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City:
Zip:
BONDING
Name:
Address: _
City:
Zip:
f]rT.TiT:�I
Phone:
_ Not Applicable
_Not Applicable
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 our Notice of Commencement.
as Aaent for Owner
STATE OF FLORIDA
COUNTY OF
FLORIDA
OF ST. JOHNS
The for oing instrument was acknowledged before me The for�oLing instr meyn�t�was
�acknowledged before me
this day of Tbr r ka , 20 L�by this �_ day of�(_'2—20 Z� by
OY P Jose Castro
RC N p State of Florida�, A/]
(Name of person
Expires; October 15,
(Signature gfNotary
Personally 6wn OR Produced Identification 9L Personally Known x)x
Type of Identification Produced D r-.'A.). ( 1� 5. Type of Identification
Commission No.
Revised 07/15/2014
(Seal)
Commission
# FF 023111
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