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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 x ^^�.3 ., nurzzmu a C'e OVSRd? Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential=° �...r.�s,a of lunwa 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:�` �'••. missions 4 "�' My Comm. Pxoires May 1, 2021 •a,2� a•� '; Notary C-Slue of Fldf0. >A:'-' 6onEM @Hoch nararal fatary kf �. •? Commi3s11Ns M GG 047893 �' �.•` M Comm. Wiles Now 75 `•u ,`.:• ° . Bonded thruup National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17