HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE.COMPLETED FOR APPLICATION TO BE ACCEPT&I 1 =�9��
Date:01/04/2018 SCANNED Permit Number:
O' BY
,'�� St
County RECEIVED
• Building Permit Application
Planning and Development Services JAN 302018
Building and Code Regulation Division PT, WGie County, Permitting
2300VirginioAvenue, .Fort PlerceFL34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential .
PERMIT APPLICATION FOR: Renovation III
—S LICIE GARDENS 26 36 40 BLK 3 PART OF LOTS 12,13,14 AND 15 MPD'AF:
Legal Description. -
COMM AT NW COR LOT 13 BLK 3
Property lax to tf: 3414-501-1912-500-6 Lot No:12,13,14 i
Site Plan Name: Crowne Plaza Block No. 3.
Project Name: Pam's Fabric Nook
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
commercial renovation to include: demolition, drywall,
I�HVAC Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
Electric PlumbingI
Sprinklers 11 Generator i� Roof Roof pitch
Total Sq. Ft of Construction: 3,000 S Ft. of First Floor: 3,000
Cost of Construction: $ 25,500 Utilitles:C2Sewer OSeptic Building Height: 25 feet
OWNERjLESSEE
rCONTRACTC?
u m k r
row a oi Lucie Associates LV
Name
Name: OmaS hic& MItier "-
Address:' OU Highway
Company:TRM Construction Management
Po ucie State:
City:
Address: Village reen Wive
_
Zip Code: Fax: 709
City- Flort bt UCIe State:.
11 37-30$i
Phone No.TTM
Zip Code: Fax:
Phone No.%Z-90�-z721
E-Mail: plaza crow necom mercla .com
Fill In fee simple Title Holder on next page( if different
E=Mall: pau rmcorpti.com
State or County License:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
OWNER/CONTRACTOR AFFID_VIT: 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 ermit holder to build the subject structure
which Is in conflict with any applicable Home Owners Association rules, bylaws oranscovenants 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 dohereby 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 conatrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Yourfailure 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, suit with lender or an attorney before
commencingwork or mcordin ourNotic Commence
1
Rev. 8/2/17
S�UPLI;Ni�NT�I�Gp 5TRUGTiQN�rLt�Ns tIAV�%(
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DESIGNER/ENGINEER: Not Applicable
Name:GrowneStLucieAssoclates-LP
IVIORTGAGEGOMPANY:
Name:R�3\on5 BwnK�ioDD
Not Applicable
ht.A•�r•IS
Address:
Address: l400 5+ RUCnt3C t�lor•1-1,
City: .State:_
Zip: Phone
City: Citn.-.�,�
2ip:353o3 Phone:
State::AL
- '
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: _
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
kof
Signature of Owner) Lesse ContraRor s gent for Owner
ntractarJLicenseHo(der
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'SEFF"6RSoN
OFFLO_RIDA
COUNTY OF
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The forgoing instrument was acknowledged before me
The forgoing Instrument was acknowledged before
'�iNr/�'�2%0j�by
this �7 day of :TRNuRRY .201Q by
this�dayof
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Name of personlnaking statement
Name of person aking statement
Personalty Known ✓ OR Produced Identification
Personally Known _-�OR Produced Identification
Type of Identification -
Type of Identification -
Produced
Produced
(Signature of Notary Public• at@0ftTl6ris�#J I P MAN
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.(Signature of Notary Iic- S to of Florida j
Notary Public, of Alabama
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