HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA
ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPL`IC
Date: 't'DI� P� M t 1 •
TO BE ACCEPTED /� Q
\ Permit Number. G I
mop
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Alteration
PROPOSED IMPROVEMENT LOCATION:
RECEIVED
OCT 0 5 2017,
BY PERIAITTING
St. L CI� county Lucie County. FI-
Commercla� Residential
Address:
.o
Legal Description: 7700 PINE LAKES BLVD 2 w
Property Tax ID#:026060 �s It b,��i'I.,, o0o
Site Plan Name: ARIUM PINE LAKES
Project Name: ARIUM PINE LAKES
Setbacks
Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
ALTERATIONS TO EXISTING CLUBHOUSE/FITNESS CENTER, NO NEW SQ FOOTAGE, REMOVE
AND REPLACE DOORS CABINETS WINDOWS FLOORING FIXTURES AND NON LOAD BEARING
WALLS
CONSTRUCTION INFORMATION:
Additional work to
1]HVAC
e nertormed under tispermit—check
Gas Tank ❑Gas Piping
all
apply:
In Shutters
_
✓Windows/Doors
Electric
OPlumbing []Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sc
Ft.j of First Floor:
Cost of Construction:
$ d, 0T4 Utilities: In
Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name BR Carroll St Lucie
Name: Roland James Krantz
Address:3340 Peachtree rd Suite2 250
Company: CARTA CONSTRUCTION
City: Atlanta State: GA
Zip Code: 30326 Fax:
Phone No. —o? Y — Q
Address: 6418 Milner blvd suite B
City: Orlando State: FL
Zip Code: 32809 Fax: 8885098650
Phone No. 407-857-8669
E-Mail: . ;D� . O
Fill in fee sit le Title Holder on next page ( if different
i from the Owner listed above)
E-Mail: CARTACOMPANIES@GMAIL.COM
State or County License: CGC1524112
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION. LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: BR Carroll St Lucie
X Not Applicable
MORTGAGE COMPANY: _
Name: Roland James Knntz
Not Applicable
Address:
Address: 3340 Peachtree rd Suite2 250
City: Aeanta
Zip: Phone
State:
City: Orlando
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
— Not Applicable
BONDING COMPANY: _Not
Name:
Applicable
Address: 6418 Milnerbivd ante B
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT:•Application is hereby made to obtain a permit to do the 6rk and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit. ,!
,. ,•t St. Lucie Count
yy makes no representation. that is granting a perfnit will authorize the permit holder to build the subject structure
which is in cohtlict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Pleaseconsult with your, Home Owners Association apd 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
l 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,9f Commencement.
Signature of Owner/ Lessee/Contract-or as A ent for Owner
Signatur of Contractcir/LiEoTse Holder
STATE OF FLORIDA 66WO41A
STATE OF FLORIDA
COUNTY OF AW091V
COUNTY OF
The forgoing instrument was acknowledged before me
The fo oing instrument �w�asacknowledged before me
this ?i/ day of (sen%�ie�u 20L by
this day of Q QMio6Y , NO by
/Q.wv m0dowE
void r-t K/Qhd-z
Name of persyg, making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known )c" OR Produced Identification
Type of Identification
Type of Identification
`0111inNNrirrtP
Produced �N' EGOOPF *
Produced
A r?
(Signature of Notaryblic-State cittgrida_I * _
(Si ature of Notary Public- a of -Florida }
'G PUBLIC
Commission No. �p�SeaI .'Q�
Commission No. ••••••• RACH TZ
Notary Public, FultonCounry,l if�C.O(/NTs(,G�O`�\
MY COMMISSION#GG027B99
My Commission Expires June 12, 2073r11011n110,
?" EXPIRES: Se tember 1 2 t
a„o: fit•.•''
Balled Thni NotaryP
brie UMerwntars
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Rev. 8/2/17