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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED - -' J Date: SCANNED Permit Number: BY Lucie CountyED J - - Building Permit Appr(- Planning and Development Services D18Building and Code Regulation Division2300VirginiaAvenue,FortPierceFL34982%partment Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Address: %�I S , L'L - 5 Legal Description: Hods 4 L_0 ~" C+v+s 5�1� v4 SEz 153(� yo 3�K 2 L6t >'✓ Ss Lo; 4 iH /Jul %</ (/6,7S- A VS-993 y7?) Property Tax ID #: 3 `i l,!� - SDI - o02a - UD0 - 1 Lot No. Site Plan Name: Block No. Project Name: S T. L� c,t,y-- G4yc F- 02+v+AJ a /Zf.,,,�,c� Setbacks Front Back: Right Side: Left Side:: perrormed u Mechanical _Gas Tank _Gas Piping Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: 520 00 Cost of Construction: $ 2Q 000 _Shutters —Windows/Doors Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities:- _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Address: 6lt "E %lA)D 5;. Company: iST Coo/Sm✓�%��--�• City: N , 1 (+ B& State:F_L Zip Code: 33I (D2- Faux: Phone No. DS - Gi 4/- Rid a Address: �%3�s c� �/a�e_— Z-N City: �%• p��r c State: f L� Zip Code: 3 (?ff' Z--- Fax: ---�� Phone No 7 -7 2- - 3 70 - 40 Z�( _� E-Mail: Fill in fee simple Title Holder on next page ( if different the Owner listed above) E-Mail � I 1""1C-r5t& S�from State or County License CA GD If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. J _, SUPPLE-ME-NTAL CONSTR CTION LIEN M'W INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: Tarrnow'sKr- a meeri MORTGAGE COMPANY: _ Not Applicable Name: Address: -7 (oo NW S"*� S Address: City: Pl- State: /' Zip: 33317 Phone 9S"N-.2i -1oz� City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name:' 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. L� Signatur wner/ Lessee%Contractor as Age t for Owner .�_ E OF FLORI,DA - 611 wv-T C NTY OF r The f r oing instr ent was acknowledge efore m s LL this 7 day of 20 % by m= � Signat of Contractor/License Holden__ _ ST E OF FLORI COUNTY OF • no he forgoing instr t was acknowledge efore `jv hi day of 20�by 2§¢ All a e of person making statement. fig— Personally Known /OR Produced Identification Type of Identification Produced • e f person making statement. L' a ersonally Known/ OR Produced Identifica `tom pe of Identification oduced (Signbfure of Nota Public- State of Florida) V (Signature of Nc ry Public- State of Florida—) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5' 1 Permit Number: "I I I;L- 0 i/ Building Per plication DEC 0 5 2057 Planning and Development Services /�'�^ Building and Code Regulation Division Cc& (�,�... ,^, PER"I TANG 2300 Virginia Avenue, Fort Pierce FL 34992 St. Lucie County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Alteration (32�3 1 Cf�lOf %8 x 1.2 PROPOSED IMPROVEMENT LOCATION: Address: 6201 S US HWY 1 Port St Lucie, FL 34952 Legal Description: MODEL LAND CO'S SID OF SEC 15 36 40 BLK 2 LOT 1-LESS US 1 RIW- AND LOT 4 IN NW 1/4 (16.75 AC) (OR 518-973, 978) Property Tax ID #: 3415-501-0020-000-7 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: After the fact replace existing deck as per plans and install vinyl siding as per manufacturers specs. oZOX2�t5t ��l �\ �cx,rr(J1 -CONSTRUCTION:INFORMA TION:; Additional work to bflertormed under tis permit — check all apply: 11HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors 11 Electric 0 Plumbing Sprinklers ElGenerator Roof Total Sq. Ft of Construction: � ScFt. of First Floor: Cost of Construction: $ 20,000.00 Utilities* Sewer DSeptic Building Height: OWNER/LESSEE:'. ' : CONTRACTOR: Name Brad Fellinger Name: Nathan Cooke Address:6201 South US Hwy 1 Company: Cooke Construction, Inc City: Port St Lucie State:FL Zip Code: 34952 Fax: Phone No.561-676-3254 Address: 1278 Business Park Place City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 772-530-0659 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: nate@cookeconstructioninc.com State or County License: CGC1520585 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: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: 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 —Signature of Owner/ Lessee/Agent STATE OF FLORID COUNTYOF The forgoing instrument was acknowledged before me this Wsday of 17ccc �J�L , 20 j�_,by STATE OF FLORID/, ff COUNTYOF �✓*ayt The forgoing inst`ument was acknowledged before me this _ ay of QcCe--uJbc:r—, 20 1_1 by (Name of person acknoydedging) (Name of person acknowledging) of Florida) OR Produced Identification V V 7 (,� Kb: No ary Public - Stale of A rids �(.7 Commission No. ' ,�Sea�ommission X GG 244 7Co ission No. wMieve WWB R D PAYNE II a+` My Comm. Expires Aug 25, 2020 otary Public, - State of Florida ��''�'I+oc. •• Commission.# GG 24467 y Corhm.Expiias Aug M,, 2020 Revised 07/15/2014 onded Ihiougb National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW VI W REVIEW REVIEW REVIEW DATE COMPLETE r� INITIALS