HomeMy WebLinkAboutBUILDING PERMIT APPLICATION14P
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO
-BE ACCEPTED
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Date: LOCI l l �� _1 CYermit Number:
ty "�"'0�5' �-.--•�3a 1111 ����'"'����j l i.Ciltlji Q�J
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'RECEIVED
Building Permit Application
Planning and Development Services /� JUL 10 1010
Building and Code Regulation Division Cal (., 3V a� Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 1,0A
Address: 3095-3109 Illusion Circle, Ft. Pierce, FL 34981`
Legal Description: Attached '3'105- — 3IA45-
r
Prooertv Tax ID #: 2 - 02-000/8,2429-111-0003-000/5
Site Plan Name: Sedona PUD
Proiect Name: Sedona
Setbacks Front Back: Right Side: Left Side: _
Lot No.
Block No.
Construct building containing six residential rental apartments SCANNED
BY
St. Lucie County
Z✓ HVAC Gas Tank Gas Piping
Z✓ Electric 0 Plumbing []Sprinklers
Shutters ❑Windows/Doors
Generator W] Roof = Roof pitch
Total Sq. Ft of Construction:_ � _ S Ft. of First Floor: 4401
Cost of Construction s a o�F�a aq'L� tllities: "Sewer 0Septic
Building Height:
jw
OWNER/CSE.� �h XM
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{ V:i LY4'.. -.i. C. .,•4-.o Y �M, .i:A..K�"�Yt !X �.
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Name Edwards Landing LLC
Name: James Weeks
Address: 2324 S Congress Avenue #2E
Company: Stan Weeks & Associates
City: West Palm Beach State: FL
Zip Code: 33406 Fax: 561-641-0971
Phone No.561-965-9823
Address: 2701 S Header Canal Road
City: Ft. Pierce State: FL
Zip Code: 34945 Fax:
Phone No. 772-528-1130
E-Mail: grwexler@aol.com
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Weeksfarmsfl4@aol.com
State or County License: CBC052103
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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$UPPLEMENAL,CCN51RUC7Of+I LI�NIAVtt INiRMATION
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DESIGNER/ENGINEER: _
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State: _
FEE SIMPLE TITLE HOLDER: _
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 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 Count makes 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 fallowing 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
improve s your property. A Notice of Commencement must be recorded and posted on the jobsite
befor e r nspection. If you intend to obtain financing, consult with lender or an attorney before
rn en ork nr recording vour Notice of Commencement. / , /%
2-Z
ignature of Owner/ Lessee/Contractor as Agent for Owner
Sign r/ ra G ntctor/License Holder
STATE OF FLORIDA
S ATE OF FLORIDA
COUNTY OF Pelmaea4
LINTY OF Pelm eeem
The forgoing instrument was acknowledged before me
Jmr 6y
The for oing instrument was acknowledged efore me
this day July by
this day of 20
,20
g Wexler
Jim eks
Name of person making statement
Name of aking statement
person
ers nally Known �/ OR Produced Identification
Pe so ally Known OR Produced Identification
ype fId ntification ,.,
y e f entification
Prod c >~ai'•"•"•• .''•; DANIELLEAROBRAILLE
r du .•••'+""•, DANIELLE A. ROBRAILLE
MMISSION 0 GG OT1751
MY COMMISSIONtFGG0777
EXPIRES: June26,2021
•qry
%. EXPIRES: June26,2021
nod` tigdee7wy Nofvy Pi&6C Unde�wrifErs
s,@P'
'$;p";Ig.• BOMetl 1lw Notary UmWwnt
(Signature of Notary Public- rate o on a )
ignature of Notary Public- State of Florida)
Commission No. GG077751 (Seal)
Commission No. GG077751 (Seal)
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DATE
I f Q
RECEIVED
DATE
COMPLETED
Rev.8/2/17