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BUILDING PERMIT APPLICATION
S ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l��' �'1 Permit Number: ��;Ia-d0I5 R �_ i SCA�1fy • 6 B Building Permit Application � � ��t'. 'uc;C my Planning Development and Services DEC p 12011 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x ReNtt&ntig("""'".. . PERMIT APPLICATION FOR: Building _ C<r cdm PROPQ ED.IMPROVEMENT LOCATION: . Address: T%"KittennanRoad V�L 3gg5-d, �j, 1✓yp �� /Qy, ��/ / Legal Description: KITTERMAN (PB 5532) TRACT A (4.852 AC) (OR 4007-984) I Property Tax ID #: 3415-707-0001-000-0 Lot No. Site Plan Name: Block No. Project Name: Advantage Self Storage Setbacks Front Bac QW4.Right Side_ Left Side: DETAILED DESCRIPTION OF WORK-,= = r GlOvnd up 8uL J CONSTRUCTION ILR�Artiona wor to e spermrt—c ec appy: 0HVAC �Gas Piping Shutters Windows/Doors 0Sprin Electric rs Generator Roof Roof pitch Total Sq. Ft of Construct'� S Ft. of First Floor: Cost of Construction: $Utilities: �Sewer Septic Building Height: OWNER/LESSEE:.' CONTRACTOR. Name t u Name Brouvn,PauCBeyn'on Address:266 E Jericho T6mpike Company: PB Brown LLC City: Huntington Station State: NY Address: 446 W Plant Street Zip Code: 11746 Fax: I City: Winter Garden State: FL Phone No. cS/D� L/ - u �Ib� Zip Code: 34787 Fax: 561575-1879 E-Mail: �'/� AQ/1// TpP_frnd ,i /v n Phone No. 561348-4805 Fill in fee simple Title Holder on next page (if different E-Mail: Permits@aandjpermits.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. i 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 TITLEHOLDER: _ 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 commencing work or recording our Notice of Commencement. a Vim- 1� 1 Signature fOwner es/Contractor as Agent for Owner Si u ontractor/Lic erg Holder 4 STATE OF FLORI STATE OF FLORIDA \ COUNTY OF COUNTY OF I The fo oing instr `ne wa acknowledged before me �Q The for oing instr ment w .I ack ledged before me j thiday of 20Q by thi day of 20� by 2VQWNamill of person makings atement Na of pers making statement I Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identifica Produced Produced l KART NEVILLE ,e (Signature f , "I f'ubftfSU&aSfi�FlHriif'�� (Sign ure of Notary Public -State of Florida ) •••. UonEN through Natiunal NotaryFssn. Commission No. ea Commission No. (Seal) -Y REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE �y RECEIVED 1a )Ul DATE COMPLETED Rev.8/2/17 -1ta-nn [S SUPPLEIViENTAL CONSTRUCTION LIEN�LAW INF©RM'ATIO'N ; rY 7 a, f ..'c $.., .u,;_' e, . „i S,i b Fir: ✓VL4 �_._. ._ vc-•. a���-.. 1 .'. 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/ Cum I KACtUR 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 f* inspection. If you intend to obtain financing, consult with lender or an attorney before commenciNe WnAc or recording vniir Nntira of r'nmmonromo..r Signature of ContracfqEtWc&r6e Holder Signature of Own r s�see/Conttrraactor as Agent for Owner STATE OF (AJ COUNTY OF Su F ( STATE OF COUNTYOFORIDADeJ1Z-0(Z1L—' The fo going instru gnt was acknowledged before me this ' day flrl The fo going instrument was acknowledged before me of 20l by day of K1t- �! �, 20 18 by iCi5 G' �jtr�his L� Plain G V D'n' Name of person ing statement Name of person making statement Personally Known OR Produced Identification Personally Known L--� OR Produced Identification Type of Identification Type of Identification Produced O(Signatureof Produced Notary Pu is -State of Plmida iAA Uar ¢no L¢ib -(Signature Notary Public- State f Florida ) " oc Notary Py bl'p Commission No. state Of NX&AIprk Commission No. � County Of Greene Commission Expires_ 04/20/.tOzl .00 Notary PUDGc Stale of No. O'1 E6204353 Slanen Luis REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION S aee COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW. REVIE DATE RECEIVED DATE COMPLETED Rev.8/2/17 PLIC"LE INFO ALL AP3"/l��O UST RE COMPLETED FOR APPUCATION TO 6E ACCEPTED Date: PemmNumber. IMI o 6 Building Permit Application P6mlm lr4 and Dmkpw.t5Mke4 pulkftnp and Code Regulation DAWon 2300V/rgAdo Avenue. Fart Firm FL 34982 Phone:(7771462-2553 Fox:(772)462.1578 Commercial A Residential Address 605 N1T7ERa" ROAD Legal Description: IOMRMAN (P835.32) TRACTA (4.852 AC) (OR 4007-084) PropeNyTWON: 34W07-0001-000.0 Lot No. Site Plan Name: Block No. project Name: ADVANTAGE SELF STORAGE Setbacks From - - Bad: BlybtSMe: Leh SWe:_ y Piumblag ❑WladmilO ni ElRoof = Roolptch Total Sq. Ft of Comtnlctlan: 3pI. iL o1 FlistlF�IejGr. Caatd ComVudlon:$ UI11111ec5ewei l.,JSeptic Buildhq Height: OWNE /1ESSEE f� $;sfi y r "x ;`it :CONiRAGIOA:;;4. -; r: -"�-" : . s gwnePARRELLA ANTAGEF73TLUOEHOLDlNGLLC Add.w.n E JERICHO TURNPKE Name: MLSN.AMRICHARD Company: WELSH COMPANIES CIty; NUNTINOTON STATION State:t 21p Code: i1746 F11 Phone No. , Adm,.: 384E W EAU GALUE BLVD SUITE lot Ocir MELBOURNE 511Ie:.n�— 21p Code: 32934 Fee:.561-575-1678 phone No. 551-3484B03' E•Mall: RII lnfee dmPle Title Ndderoe neat PISS l NdlNeFent fromiha OwnsrBHed above) E-Mall: PERMRS4jAAN0JPERMITS.COM Steteor CountyUc.m.: C00041624 N "Sued mntlraNlan Ia 32500 ar mom MAR 3 0 2018 Lucie County, 'LSIJPPMEN ALr[ONS[RyCT10N11EN`l'AWINfOFMATIOH OESIGNE ENGINEER: _Not APPllca le Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: city: State:_ Zip: - Phone City; Slate:_ ZIP: Phone; FEE SIMPLE TITLE HOIDEN: _Not Applicable Name: BONDING COMPANY: _Not Applicable time: s: addresddress A City: ❑l. Zip:- Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIOVIT: Application Is herebymade to obtain a permit to do the work and Imtaeallon as Inclosed. I dertlp that no wart"Installation has commented prior to the Issuance of a pemdt. Ss.1vLyc�ccu mt makes no(ltt�tntam th Is arandnta permit ty�us�dl�eilae the' maliolder to build t tar ttwa MdN ld intMllicl War %, Name sAsaatYuon ruW;palawsWWs pvttaMf lhFi mlyY Ual&prphl�n wm Hrvcwre.! awtomll wl�yenr.Nwne Owners lionandr yau(draM "anyreAMroni tmyapp . In consideration aides Vantngot this requested permit. I do hereby agree taut I was, Nos recpet perform the work in accordaacewlth the approved piam,the Florida Building Codes and St Ludt enunly amendmenls. The Iollowng building permit applications are acempt from undergoing a(LA unwrtmry anew. room additions, accessary strvttures, swooning Preis, fences, wins, signs, warn rooms and accessory uses to a mother nanresidental use WARNINGT OW EB:Yoo felWn to Regard a Notice ofCommeacerdent may result In your paying twice for Improve its Yp r r1y.A Notln of Commencement must be recorded and posted on the (dbstke before ¢lire spec n lyou Intend to obtain llnandhg, consr}h Intler or an attorney before scam nUnn okor if atiw Netire at [emmenrement Agmw lea (t nngtt" as Agent for Owner Signal a ntunorAkem,, .fdt, I "� kJl� -�" uUMYG . OUHr`Of°1S(idkfnf G fiefm sing WIwati [knowhrdged beiwr me thlif/ Ap.. - - - 70,1rJ'by Their glnttrument was acknowledg lyre me This yrl- Mn1L(n :a `by �7f,nrAs WW!L1I . �•6Z .welsh Namep/person-stftemem Name ofpwwnpuking statement PNaanally%nowr!JLORPrcd"ed Nenlifiunen_ Perwmgy Known ✓- ORPmduvedldenlIkation_ TYPeolldenllffnUpn Type el kh miRcallan need. nrduced (Sigmturc oY Peblle•State rl fawdblla/�d/r (S tar of Notary WbGc. State of Ilol I [emmisNan No ISall Coinmusirn Na FF 159.n9 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATUATCE MANGROVE COUNTER RENEW REVIEW RENEW RENEW REVIEW REVIEW DA RECEIVED DATE' COMPLETED Rev. 6/2/17 Daare"1411' Lelbrc°k lltatglark Putallo' ea" Of NOW Yens contmou yOn 0►senve No."°tif�2WOaa °usol.Z,pRrl �1 Cara I- LangGe NOTARY PUBLIC STATE OF FLORIDA COMmIlI FF188078 Ezp(fes 9/8/2018