HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i Q ca_t<
Date: Jan 11, 2019 SCANNED Permit Numbe=m��
BY
iC5j7711',, _ r St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 12 5050
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Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential=°
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PERMITTYPE: g
Buildin
PROPOSED INPROVEMENT LOCATION:St Lucie County
Address: 3163 Hammond Road, Fort Pierce Florida 34946
Property Tax ID #t: 1430-311-0002-000/3 Lot No.
Site Plan Name: Missionary Flights International Block No.
Project Name: Missionary Flights International
DETAILED DESCRIPTION OF WORK:
New construction of a free standing Garage
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
,Mechanical
Electric
Gas Tank
,./ Plumbing
Total Sq. Ft of Construction: 824
Cost of Construction: $ 64,800
_ Gas Piping
_ Sprinklers
Shutters
Generator
Sq. Ft. of First Floor: same
Utilities: Sewer _Septic
Windows/Doors
4 Roof 6 in 12 Pitch
Building Height: 9' 4"
OWNER/LESSEE:
CONTRACTOR:
Name Missionary Flights and Service, Inc.
Name: Richard K Davis Construction Corporation
Address:3170 Airman's Drive
Company:
City: Fort Pirece State: _
Zip Code: 34946 Fax:
Phone No.772 462 2395
Address: P O Box 186
City: Fort Pierce State: FI
Zip Code: 34954 Fax: 772 465 7665
Phone No 772 461 8335
E-Mail:joek@missionaryflights.org
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailddavis@rkdavis.com
State or County LicenseCGC013084
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
N a m e: Claren Architecture + Design, Inc.
MORTGAGE COMPANY:
Name:
_,L Not Applicable
Add ress: 6400 Congress Avenue
Address:
City: Boca Raton State: F1
Zip: 33487 Phone5s19614884
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: same as owner
BONDING COMPANY:
Name:
Not Applicable
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 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
commencing work or recording your Notice of Commencement.
as Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20_ by
/A&," avv'-,
Signature o Contractor/License Holder
STATE OF FLOW
COUNTY OF �-
The forggo�ing instr ment was acknowledged before me
this h "`My of �ts.e. naJ, 20 �9 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 Produced
(Signature of Notary Public- State of Florida) (Signature of Notary „ g,e o orlc gpp K EBNER
Commission No. Seal Commission No. .`�: Notary Public - Slate of Florida
(Seal) _ ' Com{>S�db}l N GG 047893
.a My Comm. Expires Nov 15, 2021
REVIEWS I FRONT ONING
IS RIIIV ON SEA
LE MANGROVE COUNTER I REVIW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
COMPLETED
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
_.Not Applicable
Name: Claren Architecture + Design
Name:
Address: 6400 Congress Avenue Suite 2150
Address:
City: Baca Raton
State: FI
City:
State:
Zip: 33487 Phone5619614884
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _
Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
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 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
commencing work or re=di_ng vourNotice of Commencement.
Signatyr Her/ LesseeLContraetoras Agent for Owner
Signature oil Contractor/License Holder
STATE OF FLORIDR
STATE OF FLORIDA
COUNTY OF n> .� LiC,C 2
COUNTY OF�A„ t ;
The for Ding instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisrdayof a��Onemhet 20� by
this Odayof 201V by
Namb of person king statement
Name of person making statement
✓
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of N 0.•,,,,,,
(Signature of Notary Public- State of Florida
. a
:+, Notary Public -St fF ida
Commission No r e
,•";a: KEENER
Commission No. a:�` �'••.
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REVIEWS FRONT
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SUPERVISOR
PLANS
VEGETA
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17