HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CC,,'PLETED FOR APPLICATION TO BE ACCEF' _s
Date: SCANNED Permit Number: I�1 oe' COEO
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. . - St. Lucie County
• REMED
Building Permit Application DEC 04-2019
Planning and Development Services
Building and Code Regulation Division PermittingDeCounty nt
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 6598 S US HWY 1, Port St Lucie, Florida
Legal Description: WHITE CITY GARDENS -AN UNRECORDED PLAT IN SEC 15-3640 LOTS 11, 12, 13, 14 AND 15 LESS rd rlws
Property Tax ID#: 6415-502-011-0004 Lot No.
Site Plan Name: New Burger King Block No.
Project Name: New Burger King
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install new interior WIC Main Building Permit #1712-0227
CONSTRUCTION INFORMATION:
Itlona WOrK to a er orme un ert Is permit —c ec a app y:
❑HW Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
❑ Electric Q Plumbing []Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: 5qI FFtt.I of First Floor:
Cost of Construction: $ 1800.00 Utilities. LJ Sewer []Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Seven Real Estate Holdings, LLC
Name: Keith Edward Gonzalez
Address: 117 Hidden Glen Way
Company: Always Chillin, Inc
City: Dothan State:AL
Zip Code: 36303 Fax:
Address: 2030 Old Dixie Hwy #3
City: Vero Beach State: FL
Phone No.
Zip Code: 32962 Fax:
Phone No. 772-584-5708
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: alwayschillinac@yahoo.com
State or County License: CAC1814598
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
LIEN LAW INFORMATION:
Naive: Seven Real Estate Holdings, LLC
Address: 659a S US HWY 1, Pon St Lucie, Florida
City: Dothan State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Ad d ress: 2030 Old Dixie Hwy #3
City:
Zip: Phor
MORTGAGE COMPANY: _ Not Applicable
N am e: Keith Edward Gonzalez
Address: 117 Hidden Glen Way
City: Vero Beach State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
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
STATE OFTL
COUNTY OF
The forgoing instrument was acknowledge before me
this �k_ day of bk) 20 % by
iC EO � Name
of of person mak g statement 1�
Personally Known OR Produced Identification
Type of Identification
Produced IL
-(SignAure of Notary Publiii-' State of Florida
Commission No:,;' LASHAF(S.eat};RAM
Notary Public -Stale of Flbdda
_.cc My Comm. Expires 1) ' O'4918
REVIEWS I �FRY7i�fT_ ��1 W I �u REVIEW
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STATE OF FLORIDA Q v
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The forggin ginstru ent was acknowledged be fore me
this da of Fc6 6 20/? b
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Name of person making statement
Personally Known OR Produced Identification
Type of Identification X/
Notary Pyyblib $$line Pf Flr.:
Marc J@aci4Bl�hard
My Commission GG
Expires 09/16/2022
PLANS I VEGETATION SEATURTLE MANGROVE
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