HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-14-18
Permit Number. 103 10Y2 8
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie Count
Building and Code Regulation Division y
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-SSS3 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
I PROPOSED IMPROVEMENT LOCATION: III
Address: 2251 N US HWY 1
Legal Description: 33 34 40 S 650 FT OF NE 1/4 LYG W OF US 1-LESS TRACT TO RUSSO- AND THAT PART
OF N 10 AC OF NW 1/4 OF SE 1/4 LYG W OF US 1 (25.12 AC) (OR 1768-2079)
Property Tax ID #: 1433-130-0004-000-1 Lot No.
Site Plan Name: RIDGECREST MOBILE HOME PARK
Project Name:.RIDGECREST OFFICE
Setbacks front Back:
'Might Side: deft Side:
Block No.
DETAILED DESCRIPTION OF WORK: III
P W
�- a -ma- ftpo r o ��� C4P,
I CONSTRUCTION INFORMATION: lit
re enorrneu unuefimspermit—cnec
Gas Tank
do
Gas Piping
dppry-
Shutters O
Windows/Doors
Plumbing `Sprinklers
J�J
LJ
Generator Et
Roof = Roof pitch
Total Sq. Ft of Construction: 5�200 SF S Ft. of Firs t(Floor:
Cost of Construction: $ Q I QQ0 o Utilities•TiSewer lSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ridgecrest Mobile Home Park LLC _ _ —
-.Name:- MICHAEL WALDROP
-Address: RidgecresfMobile Home Park LLC
Company: INNOVATION CONTRACTING, INC
City: Southwest Ranches State: FL
Zip Code: 33332 Fax:
Phone No.954-553-1833
Address: PO BOX 12757
City: Fr PIERCE State: FL
Zip Code: 34974 Fax:
phone No. 772-519-9108
E-Mail: TPETERSON@RIDGECRESTPROPERTY.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: INFO@INNOVATIONCONTARCTING.COM
State or County License: CGC1511910
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Not Ap
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address: Address:
City:
Phone: Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Zip: Phone:
Zip
_ Not Applicable
BONDING COMPANY: _Not Applicable
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 con>Ylict 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 NER: Your failure to Record a Notice of Comrr
improvemen your property. A Notice of Commencement
before the r inspection. If you intend to obtain financing, c
commen work or recortlr ina vour Notice of Commencemel
as Agent for Owner
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this 14 day of MARCH 20_ by
MICHAELWALDROP
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Ignature of Notary Public -State of Florida )
Commission No. FF9514s9_ - lisraWkw
LE 1459
::r'"jy> i,•. DA cOMMiSSto" 16 2020
Mf
R
REVIEWS . SUPERVISOF
EW REVIEW
RECEIVED
Rev.8/2/17
fay result in your paying twice for
:orded and posted on the jobsite
lender or an attorney before
STATE CIF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this 14 day of MARCH . 20_ by
MICHAEL WALDROP
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
LAU Is 1�1�
Signature of Notary Public- State of Florida)
Commission No. FF961459 _,.ds i
PLANS
!!v
p FF961459
�P' RTLE I MANGROVE
REVIEW REVIEW