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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ t ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1-I d A 6353 lax a RECE11, `D SEP 2 62.017 Building Permit Application Planning and Development Services SCANNED Building and Code Regulation Division BY 2300 Virginia Avenue, Fort Pierce FL 34982 St. LUCI@ Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial �— Residential County PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I Address: 33 D l o Q 4r-� !a v 4,j E% Legal Description: Property Tax ID #: Lot No. Site Plan Name: YBlock No. ProjectName:_ r' L- ST Lt7G�tr SE.QJ�G�� - 51y'—G 3�I�G Setbacks Front Back: Right Side: Left Side: FiEiJ,)L 0A-RJ/-s 1 )y>IfcSI-1o. P%C_ (a4_. �A C- P(�ttPiin)G fN t S ► (-e S CONSTRU TION INFORMATION l Iona wor to e e orme un er ispermit -c ec a apply: [ HVAC 11 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors ©Electric 0 Plumbing ❑Sprinklers Generator 11 Roof = Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ Z 2t o bU S Ft. of First Floor: _ Utilities: Sewer 11Septic Building Height: OWNERm%%LESSEE,_ `,£� CONTRACTOR Name ft4D'L( DA POW C-14- 7 Lt b j_+ Name: (wi rA/FrLciZ Address: 7�fb I,a1 oi7� a 'isat3 Company: (JW P448 C.oWrl tCAI Al.-, ( AL. City: , U lJJ $Ltrt Stater Zip Code: t. cl Fax: 5 G1-(6w-7 ( 0( Phone No. Gj 61- -z-C 7. - Z_t:6-I Address: �5+ G,Y C. O L.. (� City: -tFbL7 j .5T-A State: ri- Zip Code: O�) 3 LEb S Fax: �a6t 3i o-�743� Phone No. S 6 (- 26 L_ - Z 6197 E-Mail: -7t4v- aDnA-i7. _ *Fe( . C o M Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: W fLctC_�' LOW co x State or County License: C G L - Lf 6 ` o 7 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I DESIGNEK/LNGINEEK: _ Not Applicable MORTGAGE COMPANY: 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 Name: BONDING COMPANY: xNotApplicable Address: Address: City: City: Zip: Phone: Zip: Phone: 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 Countv 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 concurrenty 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. — Timothy Oliver Signature of Owner ssee/Contractor as Agent for Owner Signat rre of Contrac V License Holder STATE OF FLORIDA STATE OF FLORIDA X::dL DEAGN COUNTY OF M COUNTY OF PAtm The forgoing instrument was acknowledged before me f4 The forgoing instrument was acknowledged before me this day of 20 r7 by this L day of 19 rn.0 s•v 20L' by 'AC/G �MO�7 OL/\/E/Z_ 4Z0RG10-7' GU „UFRd C` Name of perso making statement Name of person making statement Personally Known OR Produced Identification Personally Known _�/ OR Produced Identification Type of Identification Type of Identification Produced Produced /edA l` (Signature of tU�'", u tfc St fTe (Signature aI t u lic- State of Florida) DENISE A. CO OLLI 1 uu.. Commission off`°' �` Notary Public - iR t Florida ( Commissio `i�s';., ANNAMARIA § � + m. Expires May 4, 2018 ° , _ Notary Public -State of Florida Commission # FF 111469 1 EH Commission # FF 927039 Bonded Throu at alP'� Amin 1" VA 7...„ REVIEWS FRONT ZONING SUPERVISOR PLANS VW� EG A 1 GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.B/2/17 r ,V ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: e - — — • St. Lucie Counter Building Permit Application AUG 17 261- Planning and Development Services PERLfiIiTII.�G Building and Code Regulation Division St. Lucie County, r 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Renovation PROPOSED IMPROVEMENT LOCATION: Address: 3301 Orange Avenue - Stores Building Legal Description: 8 35 40 NE 114 OF NE 114 OF SW 1/4-LESS RD RS/W AND LESS AS IN ORD TAKIO CA #82-59-05- (8.80 AC) Property Tax ID #: 2408-311-0001-000-0 Site Plan Name: St Lucie Service Center - Stores Building Project Name: St Lucie Service Center Stores Building Setbacks Front Back: Right Side: DETAILED DESCRIPTION OF WORK: Minor interior renovations to existing office i Lot No. Block No. Side: electric and minor plumbing. CONSTRUCTION INFORMATION: Additional work to be ner tormedun ert Is ermit—c ec a apply: ✓❑HVAC Gas Tank Gas Piping _ Shutters Windows/Doors ❑✓— Electric ❑✓_ Plumbing Sprinklers Generator E]Roof Roof pitch Total Sq. Ft of Construction: i S Ft. of First Floor: Cost of Construction:$ 4�J OOt2 Utilities:cnSewer 0Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Theodore Roux Name: RobertWinfree Address:116 Giralda Oen Company: Winfree Contracting, Inc. City: Coral Gables State: FL Zip Code: 3340 Fax: 56 6 Phone No.89-2811 Address: 354 Cypress Drive, Suite 6 City: Tequesta State: FL Zip Code: 33469 Fax: 561-320-9982 Phone No. 561-262-2687 E-Mail: theg6ore.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 It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.