HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
T BY RECEE` E - St. Lucie County
_Ila - - _ _�_ - _ Building Permit Application _DEC 1 12017
Planning and Development Services
Building 9 and Code Regulation Division st
2300 Virginia Avenue, Fort Pierce FL 34982 -
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Other
PROPO ED IMPROVEMENT
LOCATION:
Address. 3301 Orange Avenue -Service Building
Legal Description: 8 35 40 NE 1/4 OF NE 1/4 OF SW 114-LESS RD RS/W AND LESS AS IN ORD TAKING CA #82-59-05- (8.80 AC)
Property Tax ID #: 2408-311-0001-000-0 Lot No.
;Site Plan Name: St Lucie Service Center Block No.
Project Name: St Lucie Service Center Icehouse
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement of existing icehouse damaged by Hurricane Irmaill be replaced with a screened
enclosure along with minor site improvements.
CONSTRLICTION
N: .
rtiona wor to e errormecl unclert ispermit—check all apply:
0HVAI Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing []Sprinklers Generator ❑_ Roof Roof pitch
to 0or
Total Sq. Ft of Construction: to,?. Ft. of First Floor:
Cost of Construction: $ b Utilities: Sewer Septic Building Height:
OWNER/LESSEE: Florida Power & Light Company
CONTRACTOR:
Name Kevin P. Hughes, Manager Construction/Corp Real Estate
Name: RobertWinfree
Company: Winfree Contracting, Inc.
Address:700 Universe Boulevard, B2B/JB
City: Juno Beach State: FL
Address: 354 Cypress Drive, Suite 6
City: Tequesta State: FL
Zip Code: 33408 Fax:
Phone No. 561-694-3271
Zip Code: 33469 Fax: 561-320-9982
E-Mail: david.brobst@fpl.com
Phone No. 561-262-2687
Fill in fee simple Title Holder on next page (if different
E-Mail: whit@winfreecontracting.com
State or County License: CGC046407
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTIQN LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Todd McLeod, McLeod McCarthy 8 Associates
MORTGAGE COMPANY:
Name:
Not Applicable
Ad d re55: 1655 Palm Beach Lakes Blvd, Suite 712
Address:
City: WesiPalmBeach State; Florida
ZjI7; 33401 Phonesel-eas-ssoo
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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
commencingwork or recordingour Notice of Commencement.
Rev.8/2/17
Signature Owner/ L /Contractor Agent for Owner
Signature f Contractor/License Holder
of ss as
STATE OF FLORIDA
STATE OF FLORIDA,,.,,.
COUNTY OF
COUNTY OF
The for oing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this �� day of o�G' 20�by
this 11 day of V].or_ ' 20� by
KEY/N �'. NU6y�S'
Ra�(�GRT W\IJ�i1-C'�j
Name of person making statement
Name of person making statement
Personally Known � OR Produced Identification
Personally Known OR Produced Identification �
Type of Identification
Type of Identification
Produced
Produ�ce�d,(��{• Ott
(Signature of N a P _ bl' - to of Florida)
(Si ture of Notary Public- ate of Florida )
Commission No. DENISFr�f�gMOLLI
Commission No. (Seal)
_ �eEary Puhli St to of Flaritla
p PAy Comm. Expires May q, 2018
Commission a FF 11146
•••B
�"ZONt
ntled Through Nation
Notary Assn.
REVIEWS
FRONT
OR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
./
COMPLETED