HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:c SCANNED
Permit NumberL__)iA_tJ1— O(,T3-?J—
BY RLCEIVED
LPOMIW'Rfi� 9" i St. Lucie COunty SEP 2 7 , 018
Planning and Developmen ! t Services Building Permit Application ST. Lucie County, Permitting
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: To Select from dropbox, click arrow at the end of fine
I PROPOSED IMPROVEMENT LOCATION: III
Address: 8305 Holley Tree Trail, Port St Lucie, Fl. 34986
Legal Description: Renserve Commercial Tract "A" North Main Street Village Phase 1 [PB99-22] Lot A [0.933ACI (OR3547-1725]
Property Tax to #: 3327-803-0002-000-2
Site Plan Name: Main Street Village Office Building
Project Name: Lang Realty- Main Street Village
Setbacks Front Back: _ Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
Install Entrance Awning for Lang Realty
I CONSTRUCTION INFORMATION: III
HVAC L=l Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
Piping Li Shutters []Windows/Doors
nklers' 1=1 Generator F—]Roof = Roof pitch
S Ft of First Floor:
Utilities'12 Sewer ElSelytic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Main Street Village Center LLC
Name: 6090L—
Address. 790 Park of Commerce
Company: Tropical Awning of horkla Inc.
City: Boca Raton State: Fl.
Zip Code: 33487 Fax: 772-467-1858
Phone No. 772-467-1299-John Falkenhagen
Address:
City: State: FI
Zip Code: 33444 Fax: 561-278-1997
Phone No. 561-276-7132
E-Mail: I.falk@langrealty.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: tropicalawning@bellsouth.net
State or County License: U-16995
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. I;
t<�A " 4
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORWATION:
UMUNILIKI Itnibi NttK: NOT Appucacte MORTGAGE COMPANY: Not Applicable
Name:-, Name: —
Address:, Address: _1
City: - - State: City: —State:
Zip: Phone. Zip: _ Phone:
FEE SIMPLE TITLEHOLDER: —NotApplicable I BONDING COMPANY: —Not Applicable
Address: I Address:
City: I City:_
Zip: Phone: I 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.
StAucieCoun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conWict with any applicable Home Owners Association rules, bylaws or anscovenants 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 o mmencement must be recorded and posted Con the jobsite
0
before the first inspection. I r�oyu�tntain financing, consult wl�,Rld� r an attorney before
I ur tj tE
commencing work or recorc i ur tice of Commencement.
SignatureofOwne Lessee/ ntractor as Agent for Owner
Signaq*06fVhtractor/Ucense Holder
STATE OF FLORI
COUNTYOF
STATE OF FLORIDA,�:?
COUNTYOF ;L/"—
li
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledge efore me
this 1-'3 dayof 201& by
this j-yday of f?Wt- 20/1
C Sc,
Name of person making statement
Name of person making statement
Personally Known '.
—_ )4_ OR Produced Identification
Personally Known *� OR Produced Identification
Type of Identification
Type of Identification
Produced
oduced
(Signature of Nota
tate o1FXfff9.ad(WAFSON
tSignature of Notary Public- te of Florida
Commissio n No.
M ff GG 061502
i . MYCOMM
EXPIFIRRy 10, 2021
Commissio — — — — — — Id 1)
E.
Beaded Thru I PuM Under0ters
SIMPSOkjc
Notary Public - State of Florida
Commission # GG 206222
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REVIEW
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Rev. 8/2/17