HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA13LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/27/2018 SCANNED Permit Number:
BY RECMVED
St. Lucie County, DEC 2 7 2018
Building Permit Application PennItting Departm
Planning and Development Services St. Lucie Co,,�tenr
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Building
Address: 3191 Jet Center Terrace Fort Pierce, FL 34946
Legal Description:
Property Tax lD#: 1429-111-0001-000-8
Site Plan Name:
Project Name: Treasure Coast International
Setbacks Front Back:
To Me
Right Side: Left Side:
Fire pump building space of 1,200 square feet to service MRO hanger.
11 HV'AC LJ Gas Tank E]Gas Piping
ZElectric Z Plumbing R]Sprinklers
Total Sq. Ft of Construction: 1200
Cost of Construction:$ SOO,e)oCD
Lot No.
Block No.
Shutters ZWindows/Doors
Generator W1 Roof = Roof pitch
S Ft of First Floor:
Utilities"'2 Sewer 0 Septic Building Height:
AUT
RIM iftKU'E006, �� -H
Name Jeremiah Johnson
Name:
Address:.2300 Virginia Ave
Company:
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-462-1100
Address:
City: State: —
Zip Code: Fax:
Phone No.
E-Mail:-Beaulieus@stlucleco.org
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.
V21. ,
In
M1.
. TO
-
DESIGNERIENGINIEM:
NotApplicaole
MORTGAGE COMPANY"
NotApplicable
ST.Tucle Cdunty, Permittin
Name:
Name:
Address:
Address:
City:
State:
State:
City:
Zip: Phone—
Zip: Phone -
FEE SIMPLE TITLE HOLDER:
NotApplicable
BONDING COMPANY:
—NotApplicable
Name:
Name,
Address:
Address:
City:
City:
Z-1p: Phone:
zip:.Phone,
A; + A
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit w do xne wui k a 1. CM.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.LucleCoun makes no representation that is granting a permit will authorize thegermit holde to build the subject structure
which Is in co 17ict with any applicable Home Owners Association rulep, bylaws or an covenants t at may restrict or prohibit such
structure. Nease consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested pe . rmft, I do hereby agree that I will, in all respects, perform the work
In accordance with the approved plans, the Florids 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 jolbsite
before the first. inspection. If you intend to obtain financing, consu It with lender or an attorney before
Signature -of /wner/Lesseel ntractoras Agent for Owner
STATE OF FLORIDA
COUNTY OF LAXC_L41t
The forgoing instrument Was acknowledged'before me
thls4�_dayqf. j:)eC.,ewjj� 26 L8_ by
Jet-4/nvk k - �14 �Sd;w
Name of,person making staterne ' nt
PersonallyKnown ORProduced Identification —
Type of Identification
Produced
STATE OF FLO A
The forgoing Instrument was acknowledged before me
thisQ% day of CmQL"%k� 20_a by
Q31\v-e ns�,
Name of pers9n making statement
PersonallyKnown _VOR Produced Identification
Tvoe of Identification
(Sig t f Nota Pubi ic- State ot Florida I ......
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DESIGN E R/ENGI NEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
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 ermit holder to build the subject structure
which is in con4ict with any applicable Home Owners Association rules, bylaws or anscovenants 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
commencing work or recording your Notice of Commencement.
Signature 0!,gwner/ Lessee/J26ritractor as Agentfor Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF -Sr LAAx-te-
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this-2-1 dayof —L;1ecer2&-,r- 20 /8 by
this _ day of __, 20 by
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
roduced—
(Signatu fr Notary Pubi - State�of F—lorida I
(Signature of Notary Public- State of Florida I
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Commission 411M I% MELISSA S,. BOECKE�Seal)
Commission No. (Seal)
#FF979475
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DATE
RECEIVED
Rev. 8/2/17