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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I SCANNED Permit Number: I `711-• o0l 9 BY - St. Lucie CountyRECEEIVED Building Permit Application DEC 0 12017 Planning and Development Services Building and Code Regulation Division PERMITTING 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Ad ress Kittemtan Road P51/ S--a 2Z I r Legal Description: KITTERMAN (PB 5532) 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 1 t p Setbacks FrontC� Back: Right Side: t1 Left Side: _ DETAILED DESCRIPTION OF WORK; - G-INund up &ddij 40 G 87• :'o CONSTRUCTION INFORMATION: AaciltionalworKtotlepertormea unciertnispermit—check appy: C]HVAC GasTank Gas Piping _Shutters ❑Windows/Doors Electric 0 Plumbing :�]Sprin ers Generator U3 Roof Roof pitch Total Sq. Ft of Construction: 5V 3 S Ft. of First Floor: AV t Cost of Construction: �� Utilities:Sewer LJ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ame: Brown, Paul Beynon Address:266 E Jericho TuWnpike Company: PB Brown LLC City: Huntington Station State: NY Zip Code: 11746 fFax:: Phone No. 610/— AtIly'— `005— Address: 446 W Plant Street City: Winter Garden State: FL Zip Code: 34787 Fax: 561-575-1879 Phone No. 561 348 4805 E-MaiI:&L0IT5Q tIG&J A!nr;15 • (flM Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: permfts@aandjpermits.com State or County License: CBC1259288 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 00 ALLA►PNWLE INFOMOSTee COMP[flEDFOR APPLICATIONTO BEACRVIED Oala: +'�u PermDNumber. Building Permit Application Pbnnkg ondpercbPnrentSerrkes eu/fdln p and Colt RepukNon pMfbn 2a00Vepinla)462.2 Podphrrcrn)40 Phone: (772)d62.1553� Fa: (T72)a62.1578 Commercial A Residential PERMITAPPLICATION FOR: Buictiq Address WS IOTTERMAN ROAD Letal Oescriptlm: Rf1•IERMMN (PS 55-MI TRACTA (4.852 AC) (OR t007-B8f) . Property TaalD A• 0415.707-0001-0004 Lot No. Ate PIm Nsme: Bbek No. _ prokLiNamt ADVAWAGESELFSMRAOE Setbacks from Bah:- RIShtStde: - -Left Side:__ r s;r aNVAC plPbt Sbutters ❑Wind"Wwrt Glshnk aEkdrk �Phmbbp Spsinklen ❑Generator ❑Roof = Roofmch rob]sq, A of Construction: Sc1:FFt. of Fin Floor. Cost cdconslructlen: S Utilltltsl.•JSewerl.,JSeput BuBdhq NelEM: Name: WELBN, IOMRKKA0 Ny,taFARfMLLAOVANTAG9PTSTWOENOLONG LIC Cmnpany: K116H COMPANIES Addrcss.25MIERICHOTUmO'IKE Oty;. HUNTINGTON STATION .State: Address: S645WfAUGAWESLVOSU1TE101 OLY• NPIBOURNE SUFe'Fl- Etp Cede; 11745 Far. Phone No. 21p Coder-32034 Few 551-575.1870 'E:Siud phone No. 561.3484WS Fill inNa simplaTMa Helder on neat p4f(Ndi7febnt E-Mall: PERNrt8QA9NDAUM IS COM hurt, Out OWnn Bnad lbove) State or Comqubmei CGCO41824 Nwbteftlaanditn n uumamoma ALCOAOLDNet1aol tburAmumsm6tegbYed. RECEIVED I MAR 3 0 2018 ST, LUCIO 6DHnty, Permitting LIE DESIGNE - NGINEER; Name: ! NotApp In le - MORTGAGECOMPANN Name.-^^• _Not APpliable Addrcsa - • AddieSs: OLT. Zip: - phone _ State;__ City. ZEp:. Phone; State.._ FEESIMPIETITEENOLDER: Name:Name: _NDIAppliable BONDING COMPANY- _Nat Applicable Address: Address: City: - .City: Zip;' Pisani: tap; Phone: the wore and Installation as Indicated, Newark The (dmwNg Wilding minor applications are nempt from undergoing full wnrurrency rewew.famo addition, acCeaW7Nrustmre;swlmminl pwis. lames, wags, YpoN ssnen foams and aicessoryusn roanothernen nmdemlal use SrgngW In ee nwn�m/aAgeM 1pr Owner s4^a mnstorANenfe olds STATIEF°Yo fA�/` k%7 .k" r ORAeivircf c0UN1OFF liwf fly st 'was dulowk0yed` helore nK teftJ'/Vdai 200by The�F� gleslrvment was ackaowledg /creme N pyoN Me1Cfn sa by ,_ welsh 'Name ofpeNod ratuemem Nameo/pmanyLking statement ef,sona�yYnMw CRPfoduud k4nlRi4Wo_ PnXNPi Kmww ✓ Oy produced ldenUliiitlon Typeollderu Von TypeprldemNlnlfon uted. Produced Isy{mlure of FW Public, state efWAiydgQ,y Nb u ofxwtaryyPiddi- state of Fl 1�I Commismanw IXPR Cofnmliston Na r r t � (Seal) RENEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA'IURTLE MANGROVE COUNTER REVIEW REVIEW RENEW RENEW, REVIEW REVIEW 0 RKOVEfs OATS' - COMPLETED Rw.g/1/17 DaeNgN_ 1.ale► -k "INNIFY-Peublle, 8"" O►Maw Yvals QtnnnFF paalYge Inny aaMM No: 011ED4r3"i 041"144ott r� Cam E. LengPie )NOTARY PUBLIC STATE OF FLORIDA CamndE FFISM E)iplres9/812018 I a- ©0/9 v.aw I. unf GI.vli.onn: _ IvuL Hppucaole MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Address: City: Zip: Phone: BONDING COMPANY: Address: Zip: _Not Applicable wvvlm&nf a.tnr I rvat.l UK rtMUVI 1: 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 improv is to your property. A Notice of Commencement must be recorded and posted on the jobsite before he i9 pection. If you intend to obtain financing, consult with lender or an attorney before commepciriMpircIry or recording our Notice of Commencement. QV vl� Signature of ner/ Lessee/Contractor as Agent for Owner Signature of Coniractorl4ificense Holder STATE OF AtJ ORIDASTATE OF FL C UNTY OFF Q L ��lH� COUNTY OF O ppw G The for oIng instru ent was acknowledged before me The fo going instrument was acknowledged before me this day oy��L& _ pt D . 20J �J by this day ofA1 U I�f��t 20J� by &Meso i PAL- r7izo�o Name o person raking state nt Name of perso aking statement Personally Known 1/ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced �^' ^ A ^ / i` �T (A/� (Signature of Nota u I c- gAtMU Q r�docx (Signature of NotaryPublic- State of Florida ) Notary Public - Commission No. state or NgQp`grk —�oanty Of Ya�r�e�bne r7 Commission No. f� 3 Seal Commission Expires: 04/20/120,11-` No. 01 ES204353 c �N41 r`F Try Public State or Flwk REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION MY 0mminbn GG 0467 VE COUNTER REVIEW REVIEW REVIEW REVIEW REV E DATE RECEIVED DATE COMPLETED Rev.8/2/17 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 your Notice of Commencement. i 4.=-A Tel Sig ure o or/Lic a Holder Slgnatur of Owner/ L ee/ bbntractor as Agent for Owner STATE OF FLORIDT COUNTY OF ' Yl �M STATE OF FLO COUNTY OF The fo oing instr ment wa acknowledged before me `( The forgoing inst �t�as; ckno Ie20ged] before me this day Of 20J] by this day of N me of person makin atement Nau a of person rpartng statem6dt Personally Known X OR Produced Identification Personally Known Z OR Produced Identification Type of Identification Type of Identificatio Pr Produced , o`"Rrcq@I KAKI NEVILLE =�•�• .i yota Public -State of Florida + ry y Commission --'--- `�A o f— 1 PlBtfilt-State�f F rida ) (Signa , , to of Florida ) Commission No. (Seal) x� 9::, KARINEVILLE rr COmmissi ;n _ Nohrypubli-StateofFlori)Se y ommisslon k GG 087945 '••'P My Comm.Expfres Jul22,2021 Uondy�hraugh Na' REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17