HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: d 1(3I(7 SCANNED Permit Number: 1-7 0 CO' 0,3il
BY
"tee -" St. Lucie County RECEWED
Building Permit Application JUN 14 2017
Planning and Development services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Other El -
"PROP
,OStDIMPRObEMENT LOCATION
Address: 901 E PRIMA VISTA BLVD, PORT ST. LUCIE, FL 34952
Legal Descfiptio i- RIVER PARK -UNIT 3-E 388.35 FT OF TRACT D AS MEASURED ALG THE NLI OF SD TRACT
(MAP 34/22S) (OR 2622-1580 THRU 1592)
Property Tax ID #i: 3419-515-001-000-3 Lot No.
Site Plan Name: Block No.
Project Name: MARCO'S PIZZA HOOD
Setbacks Front Back: Right Side: Left Side:
DErTAILE�D;DESCRIPTION OF,W®RK t (�'.;�� -`�. ^ ` '�e � � `.'` # ,ts. �:.•;
HOOD INSTALLATION AS PART OF INTERIOR BUILD OUT FOR MARCO'S PIZZA RESTAURANT
1;eJHVAC L.JGas Tank UGas
11 Electric 1:1Plumbing []Spr
Total Sq. Ft of Construction:
Cost of Construction: $ 22ero
nit— ecka'
Piping
Shutters
_rs L_J Generator
S Ft. of First Floor: _
Utilities: Sewer ElSeptic
QWindows/Doors
Roof = Roof pitch
Building Height:
OWNER%LESSEE.' "
CONTRACTOR
Name RAO'S OF SLW, LLC
Name:-auz
Address:2365 OLD RAVEN LANE SW
Company:' .`-.
\
City: VERO BEACH State:FL
Address: -
11�
n
Zip Code:32962 Fax:
City: 1`� '
�.rtQ�C
+L State:C411
Phone No.772-696-4769
Zip Code: '1 35
Phone No. t
�FFaIx:
/Y' - S��C
E-Mail:RA0@MARCOSPIZZA.NET
Fill in fee simple Title Holder on next page (if different
E-Mail:
J e((q
(LOD cc
from the Owner listed above)
State or Count License:
n
S
It value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. - s
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
— Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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.
as
STATE OF FLORIDA r
COUNTYOF L
The forgoing instrument was acknowledged before me
3� this daf� y of ,�'i , 20 1 % by
€rIL`� kr-A, \
(Name of ptwn acknowledging) ,
' v ,e —yl S
Signature of Contractor/License Holder
STATE OF
COUNTY OFORIDA�
The.for ' g instrumeat-was acknowledged before me
this away of20 jq by
(Name of person acknowloog )
(Sigrffature of Notary Public- Stdte of Florida ) / (Signature f Notary
Personally Known OR Produced I entification V/ Personally Known _
Type of Identification Produced L�� Type of Identification
Commission No. C 6 to S' ,, _ VOTARY PUBLIC Commission No.
STATE OF FLORID —
Comm# GG105925
Revised 07/15/2014
f State of Florida )
OR Pro¢pol_ Identification
MYCOhA4SS10NkFM9TSS
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