HomeMy WebLinkAboutBUILDING PERMIT APPLICATION01
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �\A PermitNumIM
SCANNED BY
St. Lucie County Building Permit ApplicatioPlanning and Development5ervices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Building- %nJalt�dlr�
Address: 10570 S US Hwy 1, Suite 101, Port St Lucie, FL 34952
Legal Description- St Lucie Gardens 12 37 4D BLK 1 S 112 Lots and 13 LYG ELY of US1-LESS N 207.21 FT
(AS MEAS ALG ELY R/W US 1) (1.88 AC ) (MAP 44112N) (OR 3222-423)
Property Tax ID It: 3414-501-4713-300-0 Lot No.
Site Plan Name: Block No. 1
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION`OF WORK:'
Modify wall opening (as per plans) for ATM installation (ATM installation by others and not a part of this
application)
CONSTRUCTION INFORMATION:'
LJHVAC .L_I Gas Tank UGas
11 Electric 1:1 Plumbing E]Spr
Total Sq. Ft of Construction:
Cost of Construction: $ 7's-0
Piping
-rs L 1 Generator
S Ft. of First Floor: _
Utilities:n Sewer 11 Septic
Windows/Doors
Roof = Roofpkch
Building Height:
,OWNER/LESSEE: '
CONTRACTOR:.' .
Name 10570 Realty &10kb 4 /)
Name:
Address:5799 NE Island Cove Way, Apt 1103 II IO rl
Company: ACE Construction -
City: Stuart State: FL
Zip Code: 34996 Fax: 34996
Phone No. / 17— ��/— 5�,��
Address: Jlg3_29 9W I.Y/E IV
City�%l//1'/T) _ 1 1j 3&L6 State: FL
Zip Code: 33161 Fax: 305-892-9968
Phone No. 305-892-8453
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: cesar@builtbyace.com
State or County License: CGC1511239
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I
I
SUPPLEMENTAL CONSTRUCTION LIEN. LAW",NFORMATION:77
DESIGNER/ENGINEER: Not Applicable
Name:*macffE.p�A,/DEZ �r�ucyv
MORTGAGE CO PAN
IQdme: / ,57�17et
Not Applicable
B90�K
Address:// R3 5 G 955 i �S6f IV
Address: _ e
�/S S - %
city: FJoPR » to —L
Zip: 33 9s! Phone
City:El�B � G'
Zip: Phone: 77-
State:. 6
4406
FEE SIMPLE TITLEHOLDER: _ 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 alto ney before
.I. -A;- . N..l:,- nF r., nh
i
Si ture of Owner/ Lessee ontr or as Agent for Owner
Sig re actor/License Holder
STATE OF FLORRID
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STAT F FLO�,][{jitIDAU
COUNTY OF '(r n
COUNTYOF 1"�tml Ockk
The f rgaing instr�enlwas acknowledged before me
The forgoing instrument was acknowledged before me
thisrid of fXBc. \ .20� by
this'Ld- day of I'�iG� 20A by
Name of person making statement
Name of r on making statement
Personally Known OR Produced Identification
Personally Known / OR Produced Identification
Type of Identifii tion
Type of Identification
Produced i' L
Produced
In
nature of N tary Public- State of Florida J
(Signature of Notary Public-Sta f Flo da Notary Public
Commission No. ' S 3ip ��
GG CommEi
x
`{,• a; M1ty Comm. Ex
•.�xr��. 9c .e: ^n�gn
REVIEWS
FRONT
ZONING
SUPER SOR
LANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIE
REVIEW
REVIEW
REVIEW
REVIEW
DATE
II
1
RECEIVED
DATE
COMPLETED
Rev.8/2/17 '
de of Florida
IG 179596
May 21. 2022