HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FORAPPLICATION TO BE ACCEPTED Date: St. Lucie County Permit Number: I l l a-C& -o
Building Permit Application DEC 0 0 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial V Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
I PROPOSED IMPROVEMENT LOCATION: III
Address: 4882 N. Kings hwg, Fort Pierce FL 34951
Legal Description: New Japanese Restaurant
Property Tax ID #: 1313 - 232 • 000I • n nn4 Lot No.
Site Plan Name:
Project Name: Oniku Hibachi
Setbacks Front__, Back: ___,__ightSide: ------EeftSidt
Block No.
I DETAILED DESCRIPTION OF WORK: III
CONSTRUCTION INFORMATION: f11
WHVAC L!�JGas Tank IV IGas Piping "Shutters
Electric R1 Plumbing Sprri) innklers U[]Generator
W Total Sq. Ft of Construction: __/440 /O Sq• Ft • of First Floor:
Cost of Construction: - • Utilities: Sewer ElSeptic
❑Windows/Doors
Roof = Roof pitch
Building Height: 23
OWNER/LESSEE:
CONTRACTOR:
Name i Zt`l JNtd
LIA _
Name: chi wa Ho
Address:. I�, R2 N k B�� IlW/
Company: ]construction inc.
{. �LL,�
City: [-4/ Y Q IC %Ce < State
Zip Code: Fax.
Phone No. 111 - 30
Address: 6848 Butterfly or
City: Harmony State: FL
Zip Code:34n3 Fax:
Phone No. 407-808-8849
E-Mail:
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mail: ]CONSTRUCTIONFL@YAHOO.COM
State or County License: State: CBC1256217
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Orevw
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:;Fr�.. �D j2VY14 Q /A.
Name:ctuWaa
Address: a ioo
Address:
City: State:9
City: H�.y State:
Zip:'Phon I°8 7" 8�940o
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:6w 1�
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.
Inconsideration 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
commencin work or recordin our Notice of Commencement.
ji0Q,,)FlN LvtJ
Signature of Owner/ Lessee/Contractor as Agent for Owner SignaturroPMntracteVcense Froofder
STATE OF FLORIDA STATE OF FLORID
'KiI
COUNTY OF ZY1dl iRh VPr COUNTY OF
The for going instrument was acknowledged before me The fgFgoing instr entP �s acknowledge{1fore me
20/_ by
this�dayof DP.CCmhGr 20� by this'�r[dayof
Ina on Lin C14i
N me of person making statement Name of person making statement
Personally Known OR Produced Identification V-1, Personally
Type of Identification Type of IdentiQZ ' n / C
Produced TLnL Produced
(Signs ure of Not ubli e,o on a (Signature of Notary lic- State of Florida)
.•`•aK+`'^�a�;- DANIELGAOCIA
Commission No. GCr t0 ,; (ky(a�Q(ubl'K-StateafFlorlda Commission No. (Seal)
- CommissiontGG103108
'?�oFac MyComm.Fxpims May9,2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW RE EW REVIEW REVIEW REVIEW
DATE
/J
e2
RECEIVED
DATE
COMPLETED
Rev. 8/2/17