HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CvIv1PLETED FOR APPLICATION TO BE ACCEP i cu
11 /26/2018 If,S Date: SCANNED Permit Number:
f M .. ..
\J St. Lucie CountyRECEIVED
Building Permit Application I`i0V 2 9 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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 line
PROPOSED IMPROVEM_ _.
A,a,,,o«. 6783 & 6785 S US Hwy 1, Port Saint Lucie, FL 34952
Legal Description: MODEL LAND CO'S S/D OF SEC 15 3640 BLK 3 E 333 FT OF OF S 189
FTOF LOT 2-LESS RD R/W- (1.33 AC) (OR 3852-87)
Property Tax ID #: 3415-501-0039-020-9 Lot No. 2
Site Plan Name: Block No. 3
Project Name: Arcade Interior
Setbacks Front Back: Right Side: Left Side:
DETAILED,,RpS RIPTION OF WORK
Minor demo of (non -load bearing walls) and drywall. Restroom remodel, and ADA compliance
rennovations of exisitng commercial space. 11
,CONSTRIJCTIONsINFORMP,TION " ,
„r- e4j3 y
diona war to e e orme unlert ispermit—c ec al appy:
�HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric OPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1,800
Cost of Construction: $ q ,�?ao. o
S Ft. of First Floor: _
Utilities) (Sewer ESeptic
Building Height:
?OWNER/LESSEE;" $' _ '"
CONTRACTOR: ..
Name ropicana rca e,
Name: Haul orres
Address: wY 1
Company: builders ssoCla eS§ .
City: Port Lucie State: FL
Address: 2172 SE Gidding Fid
_
Zip Code: 34952 Fax:
City: Port ucle State:_
Phone No 77Z-3 0638
Zip Code: Fax:
phone N o.
E-Mail: R Incorpora a ao .com
Fill in fee simple Title Holder on next page ( if different
E-Mail: R Incorpora a ao .com
State or County License:
from the Owner listed above)
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,SUPPLEMENTAL
CONSTR -TiONLJENLAW"INFORMATION
DESIGNER//ENGINEER: _Not Applicable
Name:JOHN M. FOSTER
MORTGAGE COMPANY: Not Applicable
Name:
AddreFSs: I ge ve.
City: O Staate:
Zip: Phone 64
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 Count 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 Not* a of Commencement may result in r payin ice for
improvements to your prone �ment must be recor nd posted o Jobsite
before the first inspect' yo eVftnancing, consult wit ndecr r or a
commencing wor rec0 R v Pdommencement.
Signa a Ow / Les e/C ractor as Agent for Owner
Si ure tractor/ ' ense Holder
S TE OF ORIDA
?FLOl
ATE OA
UNTY OF c u
COUNTY OF - 0
The forg9ing instru a it was acknowledged before me
`day oVVw 4c1�
The fgrg instrument was ckno ledged before me
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this of 20g by
thisL(� ay c 20L by
Mau &LeL - L14:
r L-
Name of person/making statement
T Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificatioy�
Type of Identifica
-
Produced De,
Produced
(Signature of Notary Publi ° Stat�F+-&i
LINA URIOL
ignature of Notary Publicr��k-e
2oyWvn'�arns
No. Z� - I('�t J)Public -State of Flori
Commission # FF 921971
.. ,Commission L
• ` f, 1Public e of Flori
a mmissionNo. F91 9 ��__ dSeal1 LINA7*FF
o•,:
_ Commission 921971
My Comm. Expires Se 27,My
P
Comm. Expie 2
REVIEWS
FRONT
ZONING
SUPERVISORrRF
LANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEWVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17