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Home My WebLink AboutBUILDING PERMIT APPLICATIONF_ ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: 12IDS-00-10 BY St. Lucie County RECEIVED Building Permit Application MAY 02 2010 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Permitting Department St. Lucie County Residential PERMIT APPLICATION FOR: Building III PROPOSED IMPROVEMENT, LOCATION:_ � ��.' 11" ` " "'J Address: 10161 Rangeline Road, Port St. Lucie, FL Legal Description: 01 37 38 FROM NE COR OF SEC, TH S00 00 54 W ALG E LI OF SEC 4176.86 FT TO POB, TH CONT S ALG SEC LI 250 FT, TH N 89 59 06 W 660 FT, TH N 00 00 54 E 250 FT, THIS 89 59 06 E 660 Fr TO POB (3.79AC) (OR 3762-2753) Property Tax ID If: 4201-113-0001-030-2 Lot No. Site Plan Name: Black No. Project Name: Proposed Top of Wall Removal Setbacks Front Back: Right Side: Left Side: DET IILWDESCRIP.TON OF WORK:.. Cut and removal top of wall - , /✓IAhIFt f k1sTi7 u�tNrN lw >� ►e+� s�sr n5 , �j CONSTRUCTION,INFORMATIONi t Additionalwork to Be Dertormed under this oermit —check all apply: LJHVAC L_I Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: 65 Cost of Construction: $ 11,650 aas Piping " Shutters ❑ Windows/Doors Sprinklers ElGenerator E] Roof = Roof pitch S Ft. of First Floor: _ Utilities:Sewer OSeptic Building Height: 28�-3" OWNER/LESSEE: `,CONTRACTOR.. "- °: Name UT LAND LLC. Name: Samuel Joseph Address:19000 NE 5th Avenue Company: SMG Contractors City: Port Saint Lucie State: Fl Zip Code: 33179 Fax: Phone No.3056713333 Address: 6750 North Andrews Avenue, Suite 200 City: Fort Lauderdale State: FL Zip Code: 33309 Fax: Phone No. (954) 440-1465 E-Mail: renatodias@unitedteleports.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: Info@smgcontractors.com State or County License: CGC-1518941 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: UT LAND LLC. N a me: Samuel Joseph Address: 10161 Rangeime Road, Port St. Lucie, FL Address: 19000 NE 5th Avenue City: Pon Saint Lucie State: FL City: Fort Lauderdale State: Zip: 34987 Phone 3056713333 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Address: 6750 North Andrews Avenue, Suite 200 City: Zip: Phone: Address: City:_ Zip: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as maicatea. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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 No of Commencement must be recorded and posted on the jobsite before on. If end to obtain financing, consult with lender or an attorney before _ �,. ,....,nr•*e'Irp of r'nmman rpm ant lU IIICIII.III VIO VI I VI uI - W, - ...... �.. _. Signature of Contractor/License Holder ' nature of Ow a Lesse Contractor as Agent for Owner STAT OF FLORIDA �� _ Oto ti COUNTY OF �` STATE OF FL COUNTY OFORIDA �ox'J The fArg)ing instrument was acknowledged before me this ii�C day of NgE{1_ ,2012iby The forgoing instrument was acknowledgebefore me this-dayof 20 by NT) �) I &S —r Name & person making statement �S Name of personp4king statement Personally Known _;ieP, OR Produced Identification _ Personally Known OR Produced Identification Type of Iden 'fication ' qF24 LAT-eti-se- Type of Identification Produced Pro c d IS gnatur of No ry Public- State of F ridgy n,,,, .,".w., DANI Notary u of Notary Public- State of FlorI I L J MAR —IN r r� i as �s 1) �' : e Public.(;t)glgrblsls Commission No. N l9lJ � Notary Public State - Commissio My Comm. Ex I a FF 899845 Carmen Esther J Tres Jul ' My Commission 14. 2019 Ex 2 awA sn. REVIEWS FRONT ZONING SUPERVISOR L ETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVI REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17