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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/23k2011 ' Permit SCsNNEDp R ME BUildingy Lon ePe hi�6 o4pplicatPlanning and Development Services Building and CodeRegulorlonDivision g Department 2300 Virginia Avenue, Fort Pierce FL 34982 CO U n ty, F L Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ", _ ��,;. sue- � � •�.�� Address: 2982 Quitis Pogl3lyd, Fort Pierce FL 34946-9101 Legal, pescripti n �' /�7/7{Gf{C� Lot No.T Site Plan Name: Block No. Project Name: !St etbacks Front Back: S Right Side: S Left Side: 5 i' EN New FBO Sign 1V 0W X r -;e-n1- ,i1� h • 4'' _ ,Y - Iona wor to e e orme unclerthis permit— cec. all thatapply: I�HVAC �GasTank ❑Gas Piping _Shutters n❑Windows/Doors Electric El Plumbing Sprinklers 1:1Generator tJRoof Roof pitch Total Sq. Ft of Construction: 60 — S .Ft. of First Floor: :fix S,o� Cost of Construction: $ Utilities:LJ Sewer QSeptic Building Height: Name FORT PIFRrF: FRO I I r. Name: A Jacauin _Cheryl Address:_2982 Curtis King Blvd Company: P&C Cnnctrncunn of the TrPagurP Coast I I C City: Fort Pierce State: EL Address: P.O. Box 4343 City: Fort Pierce State: FL Zip Code: 34946-9101 Fax: Phone No. (772) 468-6106 Zip Code: 34948 Fax: (772) 461-0095 E-Mail: chambleton@appjetcenter.com Phone No. (772) 216-8900 Fill in fee simple Title Holder on next page (if different E-Mail: pcconstructiontc@aol.com State or County License: CGC O66649 from the Owner listed above) If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required. Name: Paul Welch, Inc. Address: 1984 S W. Biltmore Street Suite # 114 City: Port St Lucie State: FL Zip: 34984 Phone 7772)785-9888 FEE SIMPLE TITLEHOLDER* _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE Not Applicable Address: City: State: _ Zip: Phone: BONDING Address: City: Zip: Phone: _Not Applicable 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 priorto 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 1 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 befor he first inspection. If you intend to obtain financing, consult with lender or an attorney before rnmm work or recordine vour Notice of Commencement. fJContracAgent for Owner Signature of Cont cense.Holder F FLORIDA rNTY STATE OF FLORIDA OF 5q , LIALbtf COUNTY OF St Lucie The fo oJ'.ng instru ent was acknowledged before me this:71 of 20& by The forgoing Instrument was acknowledged before me this fL day of N s s 1 .20_a by Jo Z; i } Cheryl A Jacquin Name of pers making statement I Name of person making statement Personally Known V OR Produced Identification Personally Known Z_ OR Produced Identification Type of Identification Type of Identification Produced Produced r (yam (Sig ur fl. Public-5j4i€e?l6�@fb4��a) Public- tateo onda (Signature fNotary Public F ' i Notary Commission a GG 1Bq�.55 issi ��` fires lun 2;�G3� os'°r'o N�@ry�r' blic State of Florida Commission No.`'�ZD��. � 'rrA1y3�41lodine Bonded through National Notary Assn. `a o� My Cotnrniwion FF 206475 9�of rub' Exr';'--, n¢,.u2019 r REVIEWS FRONT ZONING SUPERVISOR Pl A, VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED Ic7 DATE COMPLETED Rev.812/17 1 I