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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