HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �i
Date: `pd/ Permit Number:
oZ0 DEC. 062018
Building Permit Application sT. Lucie County, Permitting
Planning and Development Services SCANNED
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 BY
Phone: (772) 462-1553 Fax: (772) 462-1578 "i1o'tnRlE!t((:Wy Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
I PROPOSED IMPROVEMENT LOCATION: I III
Address:
Legal Description: Attached
Ny.31y6,3)g3,3)fD
Property Tax ID #: 2429-111-0001-000/1,2429-111-0002-000/8,2429-111-0003-000/5 Lot No.
Site Plan Name: Sedona PUD Block No.
Project Name: Sedona
Setbacks Front 4 2 Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: III
Construct building containing six residential rental apartments (3 )
3141, 3M , 31146, 31 W6' , 3150 , 315 2.
CONSTRUCTION INFORMATION`.
itiona wor to e e orme un ert ispermit—c Check a appy:
ZHVAC fi Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑✓_Plumbing Sprinklers 11 Generator gRoof Roof pitch
Total Sq. Ft of Construction: 4008 Sq. Ft. of First Floor: 4008
Cost of Construction: $ 250,000.00 UtilitiesSewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Edwards Landing LLC
Name: Jim Weeks
Address: 2324 S Congress Ave #2E
Company: Stan Weeks R Associates
City: West Palm Beach State: FL
Zip Code: 33406 Fax: 561-641-0971
Phone No. 561-965-9823
Address: 2700 S Header Canal Road
City: Ft. Pierce State: FL
Zip Code: 34945 Fax:
Phone No. 772-528-1130
E-Mail: grwexler@aol.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Weeksfarmsfl4@aol.com
State or County License: CBC052103
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
'(ID
SUPPLEMENTAL CONST
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone_
FEE SIMPLE TITLE HOLDER:
Name:
Address:
ON LIEN LAW INFORMATION:
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY:
Address:
Zip: Phone: I 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 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
WARN G TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
imp v merryytYs to your property. A Notice of Commencement must be recorded and pasted on the jobsite
be re a $i5st inspection. If you intend to obtain financing, consult with lender or an attorney before
r mm nt�//�iHHwnrk nr mcnrdinE vour Notice of Commencement. /% 7
Sig ture of Owner/ Lessee/Contractor as Agent for Owner
. Sig t of Contra /License Holder
STATE OF FLORIDA
TATE OF FLORIDA
COUNTY OF Psim Be—
COUNTY OF Palm Beso
The for oinstrument was
F
acknowledgeefore me
d b
The forgoing instrument was acknowledge before me
this day of Decemmr 20by
being
this day of Decemr
. 20 by
.'S .
Gregg we I
Jim weeks
N me of erson
p
akin statement
ame of person aking statement
Pers Known �OR Produced Identification
Perso ally now y
OR Produced Identification
nail
Type f Id e itifi tion
Typ of I entification
Prod u ed
Pro uced
(Sig at a of Notary Publi
rn. IELLEA.ROBITAILLE
gnature of Notary -
S�M1°" DANIELLEA. ROBRAILLE
Commission No. GG077751
``- MISSION#GG 07775
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C mission No. GGo7 (� •.: MYCOM 9N#GG 077751
rP; EXYPIIRES:June26,2021
NM UndenrtPo
, Pg• EXPIRES: June26,2021
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BoMcdil Nolary
Baneetl Thiu NWBry Puh6c Uriderx7it ers
REVIEWS FRONT
ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
1i1
RECEIVED
IGI
DATE
COMPLETED
Rev.8/2/17
V 14