HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 1-109.oDn?
-M-7 I BY
St. Lucie County RECEEVED
Building Permit Application SEP 2 20f7
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 S.
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Resi'd'en'thal'"'
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATIW
Address:
Legal Description: first Source Commerce Park Condomir�lu� ()nil A-111
2MSe 1 (612, ACS ILA - 6( oS -)
PropertyTax ID #: R& i -am- not l, - nnn-n Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: — Right Side: Left Side:
RK:'�,
J',DETA!LEbDE'StRIPTI 'ON OF',,W- 0'
DiqwWll removW + replckcemef�t, MsWa OR reMGVa� 4-RP Qcera(
�mn+,, iritty-jor moir ceplace-lun (Qlr�u_01� fQ_ffi0\/W up to 3'
Qwve _Viwt cbe-A-0 Mobinq �Yom ama)
,CONSTRUCTION INFORMATION:
0HVAC L-1 Gas Tank E]Gas Piping
11 Electric El Plumbing []Sprinklers
Total Sq. Ft of Construction:
Cost of Construction:$
Shutters F-1 Windows/Doors
Generator 1:1 Roof = Roof pitch
S Ft of First Floor:
UtilitiesIn Sewer 11 —
Septic
Building Height:
�OWNER/LESSEE:
CONTRACTOR:
Name 6iltomorp Commerdol f?gcklJq InvesVof s I JJ,('
Name: Michael J. Waldrop
Address: I I @'1 !23 nda "AiEPP-A —
company: innovation Contracting, Inc.
City: FQ�r+ 2ipxiEf State: -S,
Zip Code: _-,;�(4qLACJ Fax: N (Pr
Phone No. 6LO I --I IQ — 966LO
Address: P.O. Box 12757
City: Fort Pierce State: FL
Zip Code: 34979 Fax: NIA
Phone No. 772-519-9108
E-Mail:+rfclentproppftii(o)-v)ell,gntjih.gef
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: mwaldrop@innovationcontracting.com
State or County License: CGC1511910
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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ME 6 \�INFO
I
'N _.K
DE NER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
—Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: _ Phone:
OWNER/ CONTRACTOR AFFIDI Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conWict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNIER: Your failure to Record a Notice of ConmmencementR)r4, result in your paying twice for
improvement's to)p6,u ropert A N ti e of Commencement must bpl6corded and posted on the jobsite
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P e r, � inte
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before the st ip$ on. if I to obtain financing, consuyyAth lender or an attorney before
commenci wiff k or recoryRour Notice of Commencement. / /
SignaI Owner/ Less Factor a I for Owne—r
Sign5ture of (on icense Holder
STATE OF FLO DA Q>
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COUNTY OF
Ty
COLIN OF
The forgoing instrIS t k I d re me
The oing instr. t is, cknowledge(Lbefore me
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thi
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Name of person making statement
Name of person making statement
-Personally
Personally Known OR Produced Identification
Kno f
Type of Identificatio
Type of ldentifyi(a
Producei 0
D fw 0 P-0 /n 4
Produced—
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(Signature of N&y Public- State of Florida
(Sig Ii S ate of'Florlda 111
Co NO AN HUI' a)
(Sea
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Comm s te Of FlaII
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ANGELA M HUFF
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my M lies MaY 27 20 Iq
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REVIEWS
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SEA TURTLE
MANGROVE
REVIEW
REVfCW`
REVIEIIAI
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17