HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
I Y 73
Date: SCANNED Permit Number,
BY mcCEIVED
St. Lucie County
Building Permit Applicationi AUG 2 7 2018.
Planning ad Development Seivices LPermLitting Department
Building and Code Regulation Division St.
200 Virg!nlaAvenuq, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553. 1&: (772) 462-1578 Commercial - XXXX-,
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address- 2W Commercial Circle, unit 01 &009, For
FL M51
-1V&J
Legal, DescrIptiom. Wngs Hwy. Industrial Park, Unit two, Blk. A lots 17 & 18
Property Tax to #.
Site Plan Name -
Project Name: Fire Separation Mil and restrooms for future tenant
Setbacks Front Back: _ Right Side: . Left Side:
AJEP- A"L>4
10 i :171
'yet
Aclattional worK To ve nerrormea unclerthis permit — che
13 r]GasTank []Gas� Piping
121 E10-ctric FD( Plumbing ElSprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 54-8 00-00
Lot No. 17118
Block No. A .
..77*-.--
AieK
-> c;,m,%L cxr��
po^,l
Shutters DWinclows/Doors
Generator 11 Roof = Roof pitch
S Ft of First Floor:
Utilities"12 Sewer USeptic
Building Height: +1- 26
-, 107-7VILAOI-
OWN W0,1151111MEMI smy
Name Medfield Fleetly & Invest Corp.
Name: James Crist
Company: Crist Construction Co
Address: 4365 Gator Trace Lane
Address-7496 Commercial Circle
City: Ft' Pierce State: Fl-
City: Ft. Pierce State: FIL
Zip Code: 34951 Fax:
Phone No 772-461-0532
Zip C+ode� 34982 Fax:
E-Mail:
Phone No, 772-3704024
E-Mail: jimcrst@yahoo.com
Fill In fee simple Title Holder an next page if different
from the owner listed above)
State or Cqulnty License: CBC044608
if value of construction Is SZ500 or more, a RECORDED Notice of mmencementis required.
14-
DESIGNE IENGAUE Not Applicable
MORTGAGE
�GE CWPANY: Not Applicable
Name.
Name: Jan)_qPQrmr\ . ,'�
Adclrf-�- G
Addres *e7496 cal circie
City- Ft Pietpd',-,'
city: IP:7- lrw� e: F6,
lt�t
Zip: *3 �'V =F7 _27 T(o 0 f f.!rj
Fh o —ne
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _NotAppricable
BONDING COMPANY: —Not Applicable
Name:
Name:
AddreSS:4365 GatDrTrace Lane
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 consultwith your Rome 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 concurrencV review room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your hilure 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
betore the first inspection. If you intend to obtain financing, consuft with lender or an attorney before
commencine work or recordins! vour Notire of rommpnrpmpnt
Signature Owner/ Lessee/ C� �01 Agent for Owner
Sig:nat f Contractor/License Holder
STATEOF FLORIDA
T E OF FLORIDA 6
E OF
T7
COUNTY OF ep -7-; C-/,c
_94"
NTY I
NTY OF e—we—
The "oing i str=uent was acknowledged before
I ... i.0
..........
The forgoing instrument was acknowledged befo je.��
this day Of 20LI? by
.
thisZ dayof As#ps 20 IF by
Name of pe!!"aking statement
4s/onally
of P
��n making statement
Known _ OR Produced Identificati
ra ki
Pers"ame
Known OR Produced identifi i
Type of Identification
CN3
Type of Identification
Produced
�P
�J
Produced
(Signature of NcWry Public- State of Florida I
(359nature of Nofiry Public- Stite of Florida U
Commission No. fSeal)
Commission No. (Seal)
I
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIPLr
REVIEW
REVIEW
REVIEW
REVIEW
DATE
N
RECEIVED
�8
DATE
COMPLETED
Rev. 8/2/17