HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE C
Date:
ED FOR APPLICATION TO BE ACCEPTED
SCANNED
BY
St. Lucie County
Permit Number: / S 0!2 - 0;� ) (!Y�
Building Permit
Planning and Development Services
Building and Code Regulation Division,
2300 Virginia A7venue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)-462-1578 Commercial
IPERMIT -APPLICATION FOR:
C/-vi C
Address: A 5V
Legal Description: J�E-C 417ACIPICb
z
SEP __ 12918
PropertyTaxlD#: 2�dJ3-/U -0010,000-q
Lot No.
Site Plan Name:, Block No.
Project: Name: T-5 L4/y V� Xa I c e /�A P aw
etbacks Front ;B�tk:: Right Side: Left Side:
LAI CU-r&- ig aLt % eM E JVT( I)A b ; -1 t'
162 1d'Y69( /& A01'X iv"�
—Mechanical — Gas Tank —Gas Piping — Shutters —Winclows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Pilo Sq. Ft.of First Floor: 9Yj
Cost of Construction: $ 41ed , 64 0 Utilities: —Sewer —Septic Building Height:
Pitch
0 T T
Na merMdT&( k e's QrL4 i bTf LAAli) %4 1 cc 6
Name:*54ep�A-Qic- 0j'a-To-ei
Addresr>A -30 4oag (AeA-
Company:&D46; 58jatl(Ce (1?_eQCa+IdAJ
City: R-r P1 Ef?c e- . State%PL
Zip Codej_aqLqk__Fax: 6 �?7 Z - Vs 16Y3
Phone N WhIM -LI6 (*- 1 (2 z
E-Mail: rVzA Af A; 110--a 0 i C, COAN,
Address:4700 rt 1--�R cz.5 � 0 L L/
city: DPTq I-n/JP, GEAQ+ StateiE
Zip Code: &R 114 Fax: '386 - A? 4 - 5-16
Phone No -54 9'5-
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail . 64e Q V\ &Aj �E . W I*W 06e:Acd, (AIN
State or County License r G C- 12.6 0 13 Srl
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
MURWIE"E WMA N-SARB-0741.0, " IENI
I ,
DESIGN ER/ENGIN EER:
Name: A40dili LaVOX.
— Not Applicable
A-kZqA-recT
MORTGAGE COMPANY:
Name:-- f-7oLiZA-, O(Leotcr
Not Applicable
Address: �40(' " ev.)r.�re(LO,,,
v e
Address: !,40'� AIW 6+1K
�Tvec�i
City: %9 FtL,4A) 'Do
zip: Lt Phone qQ-7-ttz
State:
- (1sw
City: fteeckc;06'ee —
Zip: 5(fQ9,Z_ Phone.,
State: PL_
3�—g_—
,9
,&(_gq5�4
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 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 attorney before
comp:�encing v�Qrk or recording vour Notice of Commencement.
he
Signa Jff"Ow_ne?��essee/ iLraqctofya�, LCLAMr
inj t� ofContractorlLicense Holder
ilga t rg
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF kut
COUNTY OF S,ok_
V,
\J61A
The f instfDment was ackno*4edg before me
IW_y
The for§Ring instrument was acknowledged before me
this of -XAk1kLV)-fJ by
this 1;4�'clay of 5Wk"1ey" 1201'9 by
Cie 01"Q 'I Iq C I A.) Qo,h2il�i
Name of person making statement.
Nameof person -making statement.
I/
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(SIL'atur
(if Notary Public-
Co on N
mmlssi
Commission No
WCYBE111M
W "rON # FF BM13
'figa
avember8,2019
8wWedThM"Pd*Undemftm
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 812117
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/15/18 Permit P
h111te'
Building Permit Ap
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 X
PERMIT TYPE: COMMERCIAL RENOVATION
PR'0_P'0'SJED INPROVEM-EhT LbeATION':_
Address: 1650 DIGIORGIO RD, FORT PIERCE, FL 34982
OCT 1.7 2018
Permitting Department
St. Lucie County, FL �
PropertyTaxlD#: AJ2-�-WL -0010 -OOO-q Lot No.
Site Plan Name: Block No.
Project Name: /U61:40A k le'5 6 (7-cWt, 73ttV�VP --r(A j c, e C6
W
1'0(j*�L�D'D( RIPTI'OU OF 'ORK:
INSTALL TWO CONCRETE EQUIPMENT PADS, I @ 10' X 63' AND THE OTHER AT 20'X 14' 8"
fWN"STIlUCTION INIF-b-11MATION:
Additional work to be performed under this permit -check all that apply:
—Mechanical — Gas Tank Gas Piping — Shutters —Windows/Doors
— Electric — Plumbing Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: _ '? C(o Sq. Ft. of First Floor: ci —yo
Cost of Construction:$ 11660 Utilities: — Sewer _ Septic Building Height:
-9WN R/LESSEE:
CONITRACTOR:
Name k6tQL9'.0 6(ZC&10:aJAMt) :rU I e e (2b
Name: DAVID PERRYMAN
Address:- -330 /JJ9_rH US I
Company: DADE SERVICE CORPORATION
City: 6e-?- A -e yz e State:
ZipCode: 3-(f qL16 Fax: 7-7Z-W�_-16f?
Phone No. '177- - 46 f- 11 7-2
Address: 700 A FENTRESS BLVD
City: DAYTONA BEACH State: FL
Zip Code: 32114 Fax:
Phone No (386) 274-5655
E-Mail: -(2T-RAA/CJA't 4, (Q 0 (� C. . C 0/%,,-
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail DPPERRYMAN@GMAIL.COM
State or County License CBC1255490
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER:
Name: Axvt�,ouj Leipd(Le I A(tc)lk-�er
Not Applicable
MORTGAGE COMPANY:
Name: r-A(�^ C1Zc-p1T-
Not Applicable
ey-0 F_orzioA
Address: Jqn 1
—
1) r,
Address: Vo'_% NW (,-t�
3tec--e.-T
City: OffLAND00
Zip: 3 goi:4 Phone L(0'1-qz
State:
qVj()
City: Oic�Q_r_0\01oee
Zip: 3�tqqt_ Phone:
State: R_
T6;-96(-i315-q
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
__�cNot 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 Coun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in co %ct with any applicable Home Owners Association rules, bylaws or an9covenants 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 inspectionAlf you intend to obtain financing, consult with lender or an attorney before
wmencingVork or r�
�rg
your Notice of Comme cer/Wt.
A4
4gnature-of
Sigqature of (Twn+/ Lesse�*tontractor as Agent for Owner
Contract6-r/Licenspolder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S+. LM G I it-
COUNTY OF \101usl'o—
The forgoing instrument was acknowledged before me
The forgoing instrumprit was acknowledged before me
this U10_ day of 04+11119-er 20d- by
this -ILL_ day of 0C_t)6 k r 2� 18 by
'62ANIL -TTJLPrNe_k4A ILL,0ill-
"LAyO Pey-I-Nn-yxr)
—
Name of person mak! statement.
�7
Name of person making statement.
Personally Known OR Produced Identification
Personally Known V/ OR Produced Identification
Type of Identification
Type of Identification
P 3 roduced,
Produced
STACy B8=RE
pf GgAIhIiqqinN a EF 9W13
(Si of Not ublic- State of Fl
Notary Public- State'of-Pip— a&nEs- Novembere, 20V
TWFANY
Commission No. W/ my comhassH
WM&M.Y04,2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 9/2 /18