HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4'
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SEP 96,12017 Permit Number:
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• St. Lucie County, FL j`J-�Jilri'-`
Building Permit Application
Planning and Development Services SCANNED !�
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982ty Phone:(772)462-1553 Fax:(772)462-1578 St'(f�12tCIa� X Residential
PERMIT APPLICATION FOR: Renovation III
I PROPOSED IMPROVEMENT LOCATION
Address: V..,r V `"1 1, 1 Vlrl . I LVVIL, 1 L0Y0JL
Legal Description: ST LUCIE GARDENS 26 36 40 BLK 3 THAT PART OF LOT 16 LYG W OF US#1
AND SLY OF FOL DESC LI: FROM SW COR SD LOT 16 RUN N 0 DEG 15 MIN42 SEC W ALG...
Property Tax ID #: 3414-501-1916-350-7 Lot No.
Site Plan Name: VILLAGE SQUARE Block No.
Project Name: MVP CAFE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF WORK:
COMERCIAL PLLA+CE RENOVATION, ,4,*81 'EmQ,ELECTRIC AND PLUMBING RENOVATION
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CONSTRUCTION INFORMATION:'. =
[ZHVAC L-PA Gas Tank as Piping 11Shutters Windows/Doors
2Electric ✓Z Plumbing ffsprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
640 ,.rt Sys. Ft.
. of First Floor:
Cost of Construction:^ -ems , . Utilities: 2SewerE]Septic Building Height:
OWNER/LESSEE: i^
N
Name
Address756 SW
mpany
City: PO to e:
Zip Code: 34953 Fax:
Phone No. 1��
Address: 1492
City: PO State:_
Zip Code: 49 Fax:
Phone No. —772-446-5329
E-Mail:rzapata gmal.com
Fill In fee simple Title Holder on next p e (if different
from the Owner listed above)
E-Mail:_ nicomaquln O mai .com
State or County License:
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
34954
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permitto do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencingwork or recordi our N tice of Commencement.
Rev.8/2/17
'SUPPLEMENTAL,CONSTRUCTION LIEN LAW, INFORMATION:''
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DESIGNER/ENGINEER:
_NotApplica
Applicable
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MORTGAGE COMPANY:
x r
Not Applicable
Name: RICh8FC1 A. ,lefnl$Oft
Name:
Addre� •
Address:
City:
State:
City:
State:
Zip: Phone
23
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
Signature of Ow er/ Lessee/Contractor as Agent for Owner
Signature of 9 ntractor/License Holder
STATE OF FLORIDA °
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STATE OF FLORIDA r
COUNTY OF
COUNTY OF
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