HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10' 1 s , SCANNED Permit Number:
d St. Lucie County n�=
Building Permit Application JUN '2 9 2011'
Planning and Development Services �_
PEIi�AI, rIiJG
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: Building
El -
PROPOSED IMPROVEMENT LOCATIONS
Address: 801: - S Kings Highway Ft Pierce, FL 34945
Legal Description:
Property Tax ID #: 2301-333-0002-000-7
Site Plan Name:
Project Name: UPG Ft Pierce
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
Lot No.
Block No.
Interiorbuildout/ kePLACS kY1T(IVCs wNTW NiUNI-tLINt JAT(s
0`LI N At, I Fed ai ocr i✓vlct4e4z WI wow tnl Pn--n-v ori,,
APa t5o (ACIDS r
CONSTRUCTION INF0RMATI0N:
Additional work to e orme un er this permit—h checka apply:
�HVAC M Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors
Electric RIPlumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1,900 S Ft. of First Floor:
Cost of Construction: $ 55,000 Utilities: Ft
0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name O (Z69
Name: Mary F Maguire
Address: EYyGt�16 F
C'0Li2?i:wga 10
Company: Golden Sands General Contractors
1y�1�-�6.,13r
City: F06A_Y_rr M0
Zip Code: "7/24 7i t Fax:
Phone No. Ci�� Y/�/—'4/1)
Stater
Address: 2500 NW 39th ST suite #104
City: Miami State:FL
Zip Code:33142 Fax: 863 9847550
Phone No. 813541 0892
..f
E-Mail:,QWiEr ff�6� 1e�4tP_, Lt1r'1
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: jaron.totty@goldensandsgc.com
State or County License: CGC062617
If value of construction is $2SOO or more, a RECORDED Notice of Commencement is required.
t` ,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name:
Address:
City: _
Zip:
Name: _
Address:
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
commencine work or recordine vour Notice of Commencement. n
as
STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 6}, Luot-e� COUNTY OF ?a �/
The forgoing instrument was acknowledged before me
this `bay of � V h.Q_ 20 Eby
Personally Known OR Produced IdentifSr,�Ylo.n ✓
Type of Identification Produced Ft o,_,&% �C+► u'Mst
Commission No. F�710gRi(,
The forgoing instrument was acknowledged before me
this AL day of SU r7 e . 20 [L by
WJ
(Name of
(Signature of Notary. Public- State of FVida I
Pu
Personally Known " OR Produced Identification
Type of Identification Produced
Commission No. % 650P3J (Seal)
,;<:''..s. LUIGINA LIFRIERI
"""• L:Wres: `: ` = Id comm. expires cec. 23 20 a
Revised 07/15/2014 = April 06, 20t8 j commission Number . 23, 31
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REVIEWS
FRONT
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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REVIEW
REVIEW
REVIEW
REVIEW
DATE
1111
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COMPLETE
INITIALS