HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED D
Date: 1-24-2018
SCANNED PermiYNumb r
I.KUMNED
-. St. Lucie County
Building Permit Application APR 2 3 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division
230D Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR; Renovation
Address: 6063 N US HWY 1, FORT PIERCE, FL34946
Legal Description: 6 34:40 FROM INT OF'W LI OF US 1AND S SEC LI RUN NWLY.ON HWY 407.25 FT FOR POB, THE
CONT ON HWY 400FT, THE W TO W LI OF SE 114 OFSE 1/4, TH S TO A PT 385.02FT N OF SEC LI, TH E 808.17FT MIL
PropertyTax]D,#: 1406-442-0003-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side; Left Side:
REPAIR OF SHEETROCK:AND REPAIR OF SHOWER ENCLOSURE.
UVAC LJGas Tank
Electric E Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $, 400.00
Shutters ❑ Windows/Doors
Generator Roof F-7 RoofpRch
S Ft. of First Floor` _
Utilities: Sewer 0Septic
Building Height:
OWNER/LESSEE =
GONTRACTtJFt
r s
Name ATLANTIC AUTO PAWN LLC
Name: STEVEN M WEAVER SR
Address: 3462 N US HWY 1
Company: REALTIME PROPERTY AND DEVELOPMENT
City. FORT PIERCE
Zip Code: 34946-8478 Fax:
Phone.No.
State: FL
Address: 101A SEAWAY DRIVE
City: FORT PIERCE State: FL
Zip Code: 34950 Fax: —
Phone No- 772370-0384
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner'listed above)
E-Mail: REALTIMEFLA(PA0LCOM
State or County License: CGC1505490
9 .a,-=.+1-nnuuutun-is ?vuu or more; a ntwrcutU rvoace or commencement Is requlren.
S�JPPLEM_ENTALPC,ONS7'�rnirw�[c7lctLtE1V LAW t(�ORNCAT)ON
� � �' p , �_� � t , ��r`�F: � ;„
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone
State:
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
city:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permitto 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 i ion. If you intend to obtain financing, consult with lender or an attorney before
commenci ork orfecording your Notice of Commencement.
Signature caner/ Lessee/Contractor as Agentfor Owner
Signature of Contractor/License Holder
ATE OF FLORIDA
5� l
STATE OF FLORIDA
COUNTY OF
COUNTY OF cJG l`e
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 2 day of Ff-?, 2 LL)- 20L by
this _ day of . 20_ by
Ct,AAS - 1 &ftaey
Name of perso aking statement
Name of person making statement
Personally Known =OR Produced Identification
Personally Known OR Produced Identification
Type of Identification "Ayppy t//���'
proTypduced e of Identification
Produced
/ ! 7c�i 3 • a
(Signature of Notary Public -State of Fkad�� g'11,1
(Signature of Notary Public- State of Florida )
Commission No.ac>l r?Ja ( -4*4 ,.'XPk-.`�
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
D E
q-.0 t
DATE
C
COMPLETED
Rev. 8/2/17