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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 a �1 `j1 SCANNED Permit Number: BY St. Lucie County r6w Building Permit Application Planning and Development Services �T 0 1 2017 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34g82 BY.. Phone: (772) 462-1553 Fax:(772 462-1578 Commercial x """ ) Residential "" P ERMIT APPLICATION FOR: Building PROP05ED IMPROVEMENT LOCATION _ Address: ';U Kittennan Road (� S UI' ffJwr kj 1,t7 Legal Description: KITTERMAN (PB 55-32) TRACT A (4.852 AC) (OR 4007-984) Property Tax ID #: 3415-707-0001-000-0 Lot No. Site Plan Name: Block No. Project Name: Advantage Self Storage Setbacks Fron� �- Backs/ Right Side. ©2 LeftSide: —7q-54 .. 1 I __ ETAI DLED DESCRIPTION OF WORK: ` " t 6round up 6bi I i 'CONSTRUCTION INFORMATION: .. , gHVAC or to ,ep�eGasTankrTorme un er�permit—ng ec a —Shutters Windows/Doo rs Electric ElPlumbing❑Sprinkler Generator Roof Roof pitch Total Sq. Ft of Construction: 11 i A S . Ft. of First Floor., Cost of Construction: O Utilities: USeptic — Sewer Building Height: OWNER/LESSEE; CONTRACTOR: - Name Name: Brown, Paul Beynon Address:266 E Jericho Tu pike 7tate:NY Company: PB Brown LLC City: Huntington Station Address: 446 W Plant Street Zip Code: 11746 Fa'x: City. Winter Garden State: FL Phone No. S (Q/— 3 gao— H LOB Zip Code: 34787 Fax; 561-575-1879 E-Mail: 02 i 0q 94aiaA?im k (h Phone No. 6613484805 Fill in fee simple Title Holder on next page (if different E-Mail: 'permitsQa aandjperrnits.com from the Owner listed above) State or County License: CBC1259288 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: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: 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 commencine work or recording vour Notice of Commencement. Signatur of Owner ess /Contractor as Agent for Owner gnature ontractor/License der STATE OF FLORID n,, STATE OF FLORIDA COUNTY OF Q�� C MM COUNTY OF The forgoing ins r m nt was acknowledge�dl before me 1 '� The forgoin ginstrurrtent wa� ac� ledgeddd before me thi day of 20 b this day of _ b n t�f ,O ,\ I , Q2,0_ t �J Name of person makind statement Wme of person making s em t Personally Known �_ OR Produced Identification Personally Known OR Py6duced Identification Type of Identification Type of Identification Produced Produced V1� i (Signatur t of Florida) ) (Signature of otary P blic- State of Floridadtd ,.. „G,• - KART NEVILLE COmmissi ��nc Notary Publi - (Seal) 5fateo(Flarida Commissl n ;...... "•.. ARI NEVILLE MYCommSFx Ires1u�1945 ',�� ;f. Notary Public -State o(Florida P 1011 tl°^d<dlhrough 5• Commission#GG0879g5 Na ,o£ M tlon Mlh:augh Nalianal Nalzrypss REVIEWS FRONT ZONING SUPERVISOR PLANS VEG A ANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 191 a DW SURP.LEMENTAL CONSTRUCTIQN IEN LAW INF,ORM�ATION ' 4 f r ` M •'," DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY Not Applicable Name: Name: _ Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Applicable Name: Name: _Not 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 mrestrict or prohibit such ay 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 commen0o work or recording our Notice of Commencement. Signature of PAer/ Lessee/Contractor as Agent for Owner Signature of Contractor lcense Holder STATE OF /Jtw 6VtL STATE OF FLORIDA COUNTY OF ,AVC i , COUNTY OF 41� GG The forgoing instr nt was acknowledged before me . The fo going instrument was acknowledged before me this day of • 20 by this day of U +� 201B by Aanntes (,��fL l k Prku.t.' t�Rautr.� Name ofine of person rDaking sta ent ✓ Name of person making statement Personally Known OR Produced Identification Personally Known !/ OR Produced Identification Type of Identification Type of Identification Produced �3" — Produced l (Signature of Notal P ic- State of Florida ) Signature of Notary Public- State of Florida ) Darlene Leibrock Notes ,! P iblic Commission No. eta=e U]pW York A..�i Commission No. l� Ada - Seal County Of Greene Commission Expires: 04/20/.to Notary Public State of FbA No.01EG204363 thfit Shanen Lucas REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION °1, r+ mY r GG 0487 COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW . R I DATE RECEIVED DATE COMPLETED Rev. 8/2/17 ALLA"LICJULE INFOMUST BECOMPLETED FOR APPLICATION TO BE ADOEMO Dote: 3 l ApPerot Number. ta. I z RECEIVED Building Permit Application MAR 3 0 2018 planning a dDevebpnwntServbN BUMInp oM Cods �tpubtbn oM)bn 110611pllda Avemue Fort Pk=FL E4997 1 F. Lucie County, Pern Phone:(77F(d6g-75% Fn:(7Tlµ69-1579 Commercial A Residential Addnow We NITTeR1aA2 EAU Legal Detorlptlon: KITTERMAN(PS'6539) TRAOTA (4.WAC) (OR 4007-04) Property Tax IDA: 3115b707-001-000-0 Let No. Site Plan Name: Sbct No. _ prd)ectName: ADVANTAGE SELF STORAGE Setback, From Back:.. Wght Side: Left SWe:_ Teri,•�-•DOas Vlping `4-IShutten ❑Wmdprs/Doon Ibing OSprinlden ❑Genentar ❑Roof F--1 Rao1pWl TotalSq. Ft of ComtmOkn: 5 : FL cIFhL� �Fffn'n"71o,r. Coatofconetructlon:S URIIIIer.�SewetU5epUt gmidhylkhhl: Name FARRELL ADVANTAGE PT ATLUMEROLDIG LLD Name: MELON. pMRICWRO Company. WEI.BM COMPANIES Addreu:2w'E JERICNO TURwom Cfty;. HUNTINGTON STATION Stale: .gip Codr: 11746 Fax: Phone No Address: 38e5 W EAU GALLIEBLVD SUITE 101 Gty MEIBOURNIS Snte;! 71p Code: 32034 Fac 5814MI879 phone No. 56t34114905 E-Mall: PERLMIDWAIDIMEWTB.COM state or Countyureme: DOM182A' .E o Ril lnNa atmPN lHie Neldar An mat Page(N10f7erent from the owner HOW above) n nxuoaorurruwwe wa._..«mw.,• �•••••• �••,••-•••• _. ..-. _ >< DESIGNS Name: -ENGINEER: a NOtApp Ra le - MORTGAGE COMPANY: Nedle;••-- _Not Applicable Addras CItK Dp: - PhOft State:_ Addyees: ,CRY'• Zip:. Phone: State:_ FEE SIMPLE TITLE HOLDER: Name: _Not Applicable BONDING COMPANY; Name. Addcem _Not Applicable Address: CRy: - [fly: - Zip: Phone: C Phone: vaasac wnusetulunwrrrurC: apputaponnnermymane to opera perlmtto do tkework and Insepalbn aspldleteA I eerBfy that noworl erloktallaoun hascomnenevi paw to the Issuance of a penAt. - In accentuation an tae pimmao; NII nqueated pmrrlR IUD hefebj' apK that t wig. Nep respo s,pMnnn the work In amordancewlth Meapprowed plans, the Flodda Building Codes, and St. Lucia on inty Amendlnenta The FMowegbulldlngpermlt application, are eaempl from undegony a full cmlaurrellcy nnam..,vamaldni m, atttalo Mature swimming PaDis. frnces,walls, sans, wpen ropnoInd accessory uses to anoNmnon-nBdmtlal use caps _ STAwmo fe ee nVad-m! as Agem ter Owner A��gF1J.Y F 5"t a nVaator�lolder • - COUNTOYFOFONS(Ptfra rrj twas ,edgedbe(orcme by The The glnsoumentwastakmMecig F oreme rNr yol M AXE," .:o. `by . t�as vJoiGIC - orp3plaw2\St N�ameorpvson au[amem ialamaYy_gnawn� CRFred aci idcn{ifioxan— Nmeaspnsawatng setement PorsonsEysbown. ✓ "ORvredu[ed tamlmeuen_ 'TyptoTldeing&atbn Typeotldwafneatlon Frodu¢d (Synwurc of-Puhae•AneelWddupl(�jp D ofNoluy pubac�SDrcelNo ) Commtisen No Beal) Commtaafon No f e l S Rn� (Seal) REVIEWS FRONT IAMNG SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER RENEW REVIEW RENEW RENEW REVIEW REVIEW 0 RECEIVED COTE COMPLETED 5/2137 baFMM LaebYook E'EOkeaY rubLFe sqy Of Mow York Qoanan.Fcia Pda ails a- O0Lf2OI`.Z$j r 0 Cae'E. Latgfie NOTARY PUBLIC STATE OF FLORIDA Coming FF159078 Expires 9/812018