HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/24/2015 SCANNED Permit Number:
BY
s St. Lucie County
.
Building Permit Application
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 Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 6111 Tedder Rd. -Ft. Pierce, FL 34947-5327
Legal Description: Parcel ID: 2324-124-0003-000.3
Property Tax ID N:
Site Plan Name: 6111 Tedder Rd.
Project Name: 6111 Tedder Rd.
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
IIDETAILED DESCRIPTION OF WORK:
�r Irtvt
CONSTRUCTION INFORMATION:,
Additionalwor to e e ormed unclert ispermit—check all appy:
0HVAC GasTank DasPiping _Shutters ❑'Windows/Doors
Electric Plumbing Sprinklers Generator 11 Roof
Total Sq. Ft of Construction: 3,683 S Ft. of First Floor: 3,683 -
Cost of Construction: $' 0 EO22 '!Xp Utilities:nSewer E]Septic Building Height: 16 R
OWNER/LESSEE:
CONTRACTOR:
Name U's Rental and Investment, LLC _-„
Name: Julio C. Banks
Addresse1110'Colonial Rd.
"Colnpany`� C banks Consyuciiori LLC
k „ ,,.ss"
Citys Ft. fierce,,i State: FL
tAd'dress• 6215 Arlington Way `
City: Ft: Pierce i State: FL
Zip Code.. 34950-5068 Fax:
Phone No: (Z72) 361-5065
Zip Code: 34951-3127 Fax:
Phone No. (772) 577-6064
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail: Banks_10asme.org
State or County License: CGC 1508873
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I, SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION`.
Ut:b1UlM t:K1UNU IIVtet(: _ Not Applicaole MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
Zip:
Name:
Address:
City:
Zip: Phone:
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 ano 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 attorney before
commencing work or recordine vour Notice of Commencement.
of Owner/ Lesse Agent
STATE OF FLORIDA
COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me
this 24th day of March 20 15 by
STATE OF FLORIDA
COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me
this 24th day of March 20 15 by
Julio C. Banks Julio C. Banks
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public -State of Florida ) '-(Signature of Notary Public - State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
e f entifiication Prod c d Type of Identification Produced
M20• �t�3 8c
Commission No. ........ mission No. •••'...... ,• ( ?HNA INGRAfr7
a LASHAHNA INGRAM :•: , �� Notary Public •Slate of Florida
• �, Notary Public - State of Flat da • • e: My Comm. Expires Dec 20 201
„Y. emmlealon M FF 177249
Revised 07/15/2014 r n7zae
Oomrmssion a rBonded ln
S1
8 "- Irl .•.......h N i �� ai+ mugA National ' aryAssl%
v; •.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS