HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE A5CEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Alteration
-PROPOSED IMPROVEMENT LOCATION: • "_ .,;{.,
IAddress: 8575 S. Fed. Hwy, Pt. St. Lucie, FL 34950
Legal Description: Savannah Plaza c t
Property Tax ID #:
Site Plan Name: NA
Project Name: Headstrong Hair Salon
Lot No.
Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF)NORK ,
Install knee wall for plumbing at sinks, install water heater, install electric to water heater, install
ventilation in existing unit at Savannah Plaza.
I' CONSTRUCTION" INFORMATIOW .• a_ III
IJHVAC I IGasTank
❑✓_ Electric 0 Plumbing
Total Sq. Ft of Construction: 760
Cost of Construction: $ 5000
Piping ❑Shutters ❑Windows/Doors
ars ❑ Generator ❑ Roof Roof pitch
S Ft. of First Floor: 760
Utilities:Sewer❑Septic Building Height:16'+1-
OWNER/LESSEE:
•:CONTRACTOR
,
Name Kam NelsonClx3k 'F CcX)I�L_
Name: Nelson �.-;7
Address:372 NW Hibiscus St.
-Lee
Company: Lee Nelson.Buildidg' Contractor Inc.
City: Pt. St. Lucie State:
Zip Code: 34983 Fax: NA _ _ _
Phone No. 772-237-4875
Address: '849`CR308B '
City: Pomona Park State: FL
Zip Code: 32181 Fax: 386-467-8025
Phone No. 386-559-0415
E-Mail: karabear66@bellsouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: friedfeet@att.net
State or County License: CBCO29009
If value of construction is $2500 or more, a RECORDED Notice
is regwrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Erbsvboda
MORTGAGE COMPANY: _ Not Applicable
Name: NA
Address: its s. nth st
Address:
City_ Ft. Pierce State: FL
Zip:34950 Phonen2-s72-4sas
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: xilevattey Pmperty Company
BONDING COMPANY: _Not Applicable
Name: NA
Address: esao s- Fed Nwy
Address:
City: R. St. Lucie, FL
City:
Zip:349a2 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
commencinpmfflk or reeordina vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI A
STATE OF FLORIDA
COUNTY OF CCVV.1arn
COUNTY OF
The forgoing instr�, en;w� acknowledged before me
The forgoing instrument was acknowledged before me
this � day of �=" 20 �1 by
this _ day of . 20_ by
Lee Oels o^
Name of person making statement
Name of person making statement
Personally Known Li OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced VX6 v4_
Produced
(Signature of tary Public- S or
(Signature of Notary Public- State of Florida )
ARY PUBLIC
Commission No. qJW OF FLORIDA
Commission No. (Seal)
Comm# FF133780
EVWs 6118f2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17