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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:9/25/17 Permit Number: \1d�-OyGa RECEIVED SEP 2 g 2017 SCANNED BY St. Lucie County $ Building Permit Application `I 50 -oo Planning and Development Services Building and Code Regulation Division ���i'�C 2300 Virginia Avenue, Fort Pierce FL 34982 C Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Building - C 0yy\ PERMITrIur-_ Address: 1041 US \-\v3y OT\.L Legal Description: St. Lucie Oaks commercial Lot 2 (1.831 Property Tax ID #: 3422-600-0002-000-1 Lot No. Site Plan Name: a Block No. Project Name: �i YC"Ce-d NOLa YNOS-bt Gr'Oup- MI-1 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK:. )qbV Sq '{4 \11IveC(Or'y.,t11C, MA- MRL Zr qn5 Ctr\i-e-r CONSTRUCTION INFORMATION: �itiona wor to a er orme under tis —checkpermit a apply: gH/HVAC �yGas Tank ❑Gas Piping _ Shutters Windows/Doors DElectric L_I Plumbing Sprinklers ElGenerator Roof Roof pitch Total Sq. Ft of Construction: QL, q e>S Sci Ft. First Floor: Cost of Construction: $ ©UO i 000 . O 0 Utilities: —Seer � Septic Building Height: OWN E RAESSE E: CONTRACTOR: Name \'A&MC6 Oictahosi-i C T� nl1P2+dYa 44 .S�s ame: ,ftke rs Address: le 0-1 U.) MLK % \\) d Sid 10 3 Company: &Iwkc City: �c�'t` Ok State: FI Zip Code: ' 3" nUO 3 Fax: Phone No. q'JiA—'aqa-' Lici3 Address: t glgq jeaer)pyyvf I 2r)fth City: 6964onyiu State: ML Zip Code: "z4 Fax: 9/5-8(o4-13VS 9elZlo. 70V — 685 -07,i0 E-Mail: Q0V\r\SM(0) C1 jQhCelkictphoSl t Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: WaKe-�..ti� II_a49G, c.+m State or County License: CGC. /+0'218„� If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW_, INFORMATION: DESIGNER/ENGINEER: Not Applicable Name:C1 FNOAY NYC, tierr LLC. MORTGAGE COMPANY: Name:TBo Not Applicable Address: 6726 Remington %ace Address: City: State: FL Zi • 33463 Phone561-2254337 hrts a'r c . City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _Not Applicable 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 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 commencing work or recording our Notice of Commencement. Signature bf Owner/ Lessee/Contractor as Agent for Owner SK ire of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF 5N' LUCt t The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisdayof CN&i4yAli 20A by this Jgtdayof 5E?T&Ai5ECZ ,20JI_ by kcyiy\ bi-A-KG QYAN 509PALE70S Name of perrn making statement Name of person making statement Personally Known V OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification roduced 11111111111� Produce biLive:& t-I CdrV SL: ' S���pF1EEN���/i��i �,15510/y �i� � O� er 4 (Signature of Notary Public- Staff of}`k�i�`da) ; N•� _ ( gnature of NoKle&G IZZe43AMMAlva= Commission No. �y (ifR gpS : T= . oa Commission O.nnW%g(Wa'k]2g43 aalfe2dzt ��//fl/1111 IIIN�� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE �I� RECEIVED DATE COMPLETED Rev.8/2/17