HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: Permit Number: 1104- 0350
RECEIVED SEP 2 $ 2017
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: To Select from dropbox, click arrow at the end of line
-PPnPncF:h,IMPRriVP,' AFNT I r)rATI()NI•
Address: 2?50 1 0 FL44 G G X\J c,
Legal Description:
PropertyTax ID #: Lot No.
Site Plan Name: Block No.
Project Name: L--_STLLUGIiF SL-4W G7--Q--t-4 R'FciTL0.A
Setbacks Front Back: Right Side: Left Side:
ItUAILED DESCRIPTION,OF WORK:
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CONSTRUCTION INFORMATION::;
LgHVAC Gas Tank DGa:
Electric ® Plumbing ❑Spi
Total Sq. Ft of Construction:
Cost of Construction: $ ZGiI 047r_2
IIIL —uic�n au apply.
Piping _Shutters
nklers Generator
_ S Ft. of First Floor: _
Utilities: Sewer Septic
QWindows/Doors
E]Roof = Roof pitch
Building Height:
OWNER%LESSEE.,
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CONTRACTOR: �`r
Name M- Ptp(72LDA
PotAoA, 4 Lib1i-T
Name: W nJ M-GE eoJTY14Ul r�L, InJ
Address:70o U o w P.`Nt = Ppw 9 .
Company:
city: :l'J 0 3 e- L4 State: f— -
Zip Code: u Fax:
PhoneNo. S(oI - '5`L( n- Z I R9
/
Address: 35tf C_WX % 04, 4 to
City: 7r ny S T- 4- State: F—
Zip Code: '�>S`+ (o i Fax: S6 1-320 -SZDS
Phone No. 5-61- 2,6 Z- 2-G
E-Mail: flitv��^� Srtrij-% a- F#OL. Lvn
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: 1 9 Ffl rt� Wi t ltLC- Lor�Tria GfL�L • G o H
State or County License: C CIC - Off
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION, LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: Theodore Roux
Name:
Address: 116 Giralda Ave
Address:
City: Coral Gables
State: FL
City:
State:
Zip: 33134 Phone
116
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
x Not Applicable
BONDING COMPANY:
x Not Applicable
Name:
Name:_
Address:
Address:
City:
City:_
Zip: Phone:
Zip:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 1 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.
Timothy Oliver
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Signature of O er/ Lessee/Contractor as Agent for Owner
Signatu a of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Pd t_M 61-_�cN
COUNTY OF Pe c m Aow e w
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 9771dayof AL16'UZB 20r7 by
this JLdayof_yarusr 20D by
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Name of perr n making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known IZ OR Produced Identification
Type of Identification
Type of Identification
Produced��/^`
Produced
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(Signature of Nota d13Fi
(Signature f Notary P blic-State of Florida
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Commission No. r, = - • ".'-•: NotaryPl - State of Florida4,
Commission o. ,w�, ss��II
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Commission # 111469
Notary Public - State o1 Florida
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RECEIVED
L
DATE
COMPLETED
Rev.8/2/17
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
r-/�t,ANNED ►- / (X %� /�
Date: b• I �" I I Permit Number: I I O v-yZ 56
_a "MilJBY
zf ,irie County I° r
Building Permit Application G 17 20117
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x
PERMIT APPLICATION FOR: Renovation /
PROPOSED IMPROVEMENT LOCATION:
Address: 3301 Orange Avenue - Service Building
Legal Description: 8 35 40 NE 114 OF NE 114 OF SW 114-LESS RD
Property Tax ID #: 2408-311-0001-000-0
Site Plan Name: St Lucie Service Center
Project Name: St Lucie Service Center Restrooms
Setbacks Front Back: Ri tSide:
DETAI LED DESCRIPTION OF WORK:
Renovations of existing mens and womens restroom
Of PEA.1141 i71NG
St. Lucie County, FL
dential
LESS AS IN ORD TAKING CA #82-59-05- (8.80 AC)
Left Side:
Lot No.
Block No.
ZHVAC
U
Gas T k
[]GasPipingUShutters
❑Windows/Doors
ZElectric
✓❑_
Plu bing
❑Sprinklers
U
Generator
Roof
=
Roof pitch
Total Sq. Ft of Constructio Sq. —F—t.� of First Floor:
Cost of Construction: $ E3 0-c Utilities:OSewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Theodore Roux
Name: Robert Winfree
Address:116 Giralda Aven
Company: Winfree Contracting, Inc.
City: Coral Gables State: FL
Zip Code: 33408 Fax:
Phone No.561-689-2811
Address: 354 Cypress Drive, Suite 6
City: Tequesta State: FL
Zip Code: 33469 Fax: 561-320-9982
Phone No. 561-262-2687
E-Mail: theodore.smith@fpl.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: whit@winfreecontracting.com
State or County License: CGC046407
e
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.