HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AP LICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L I� 1�— SCANNED Permit Number:
BY
tP.- NMI— fit. Lucie County
• RECEIVED
_ -
Building Permit Application NOV 21 zote
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial XXXX Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line R eaoV .
OPOSEDIMPROVEMENT LOCATION;
Address: 7643 Commercial Circle, unit 101 &' Fort Pierce, FL 34951
Legal Description: Kings Hwy. Industrial Park, Unit two, BIk. A lots 17 & 18
Property Tax I D #: 1335-802-0002-000/8
Site Plan Name:
Project Name: Fire Separation Wall and restrooms for future tenant
Setbacks Front Back: Right Side: Left Side:
Lot No.17/18
Block No. '4A
DETAIL'EDDESCRIPTION°OF WORK
construct I demising wall; to underside 1of existing roof deck and 1., bathroom: w
CONSTRUCTION INFORMATION:
XMitional work to e- a orme under tispermit—checka apply:
HVAC �GasTank ❑Gas Piping Ll _Shutters aWindows/Doors
ZElectric 0Plumbing []Sprinklers0Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 54,800.00 Utilities: Sewer Septic Building Height: +1- 25'
OWNER/LESSEE:
CONTRACTOR: "5 9
Name Medfield Realty & Invest. Corp.
Name: James Crist
Address:7496 Commercial Circle
Company: Crist Construction Cc
City: FV Pierce State: FL
Zip Code: 34951 Fax:
Phone No.772-461-0532
Address: 4365 Gator Trace Lane
City: Ft. Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-370-4024
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: jimcrst@yahoo.com
State or County License: CBC 044608
it value or construction is %25a0 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 054,
e—
Address:
City: F r� c_�
Zip: 3LKO Pho e
State: PC-
7ZZ - (i0- 7Z S`(
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name
Address: RECEIVtU
Address:
City:
City:
Zip: Phone:
Zip: Phono 2018
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a per rtlit p dodhEOaWW R69 .4�dlldti6n 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 grantinN permit will authorize theipermit 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 c6ncurrency 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
commencing work or recording vour Notice of Commencement.
Signature 11AOwner/ Lessee/Contractor as Ag nt for Owner
STAT F FLORIDA
COUNTY OF t0r.
The forgoing instrument was acknowledge before me
this',)A day of *0 O Q 2011 by
z
mrx,
STATE OF FLORIDA
COUNTYOF 3-r, Lace
The forgoing instrument was acknowledge before me
this�l day of tJ OJ 20by
Name of person making statement. Name of person
Personally Known OR Produced Identification _
Type of Identification
Produced L Ib L_
i
(Signature of Notary blic- State of Florida
D MpRIEGNE
Commission No. NG0022622023
?r: � EXpSES: December 1Nr202a
Personally Known OR Produced Identification
Type of Identification
Produced V L i, L
(Signature of
Commission No.
REVIEWS FRURTPLANS
I COUNTER ROEVI NING W I S REVIIEWOR REVIEW
07_\92
EXPIRES December 16,
EGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW
All APPLICABLE INFO MUST BE lumPLETED FOR APPLICATION TO BE ACCEV, ed
Date: Permit Number:
Building Permit
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34 2
Phone: (772) 462-1553 Fax: (772) 4 -1578 Commercial
PERMIT APPLICATION FOR:
Address:
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
Left Side:
Residential
Lot No.
Block No.
Aaaaionai;worxtooeperrorme unaertnispermit- cnecKaii
natappiy:
_Mechanical s Tank
_ Gas Piping
_Shutters
-Windows/Doors
_Electric Plumbing
_Sprinklers
_Generator
_Roof Pitch
Total Sq. Ft of Constru on:
Sq.
Ft. f First Floor:
Cost of Construction:
Utilities:
_S wer _Septic
Building Height:
OWNER/LES 't
IG0N ACTOR:
Name :... -
Name: - '"i`.... '..•.
Address:"'
Company:'
City: State: _
Zip Cod Fax:
Phone o.
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.