HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICA LE INFO MUST BE COMPLErtiu i-OR APPLICATION TO BE ACCEPTED
Date: Permit Number: /
i
—_ SCANNED RECEIVED BY
• St. Lucie Count APR 10 2018
Building Permit Application p,1,r Jtt1n0 oepartment
Planning and Development Services se, Lude County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercials Residential
PERMITTYPE: Alteration
PROPOSED IMPROVEMENT LOCATION:
Address: 3501 Orange Ave.,Ft. Pierce, FL
Property Tax ID #: 2408 312 0001-000-3 Lot No.
Site Plan Name: 3501 Orange Ave. Block No.
Project Name: 3501 Orange Ave
DETAILED DESCRIPTION.OF WORK: u
ModifICATION OF MENS & WOMANS RESTROOMS TO MEET HANDICAP REQUIREMENTS
INSTALL EXIT LIGHTS —
(AS PER PLANS)
CONSTRUCTIONINFORMATION:,.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
)C Electric Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
O"
Cost of Construction: $ 8000.00 Utilities: —Sewer _Septic
_ Windows/Doors
Roof Pitch
Building Height:
OVIINER/LESSEE'.
CONTRACTOR:
NameWINNER i LLC
Name: -J"k,4 a" a fes ,L ��cA,vov
Address:3501 ORANGE AVE.
Company:
-AC
City: FT. PIERCE State: _
Zip Code: 34950 Fax:
Phone No.
Address: / 6 f G S
C �� / e G✓
City:
Zip Code: 3 `j �d'
Phone Now 7 A i YD
State:-Z7�
Fax:
- 6 b '5' Y
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
6D A Gs,�73
State or County License C'
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.
SUPPLEMENTAL•:CONSTRUCTION LIEN LAW INFORMATION:`. -
DESIGN ER/ENGI NEER: Not Applicable
Name: 1 AV-e,'s �Li i f? r,4` ,-e
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 00
Address:
City: � e State: fi
Zip: 'J3 y2r7Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Aririrpss:
Address:
Zip: Pho
Zip:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 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
rnmmpnrina urnrk nr rprnrdinp vnur Notice of Commencement.
S(gnature of Own r/ Lessee Contractor as Agent for Owner
signature of Contractol`711icense Holder
STATE OF FLORIDA
�
STATE OF FLORID L
F/ n zo ,
COUNTY OF � �
COUNTY OF /C
The for in instr w�jy9p a�ckf�wlecled efore me
this70day of cr/ 20Zby
The fo ng ins ru nt was a Rnowledged fore me
this day of IM 20 y
o a
a vZ
1tName
of person making statement /
Name of person making statement
onally Known OR Produced Identification v
Personally Known OR Produced Identification
of Identificatioqn S-7
Type of Identification
o
ce�GrGProducedP/a�a�Lf.%a.
Stateof Florida)
(Si ature of Notary Public- tate of Florida)
J(Mmission
No. I—F %�'FS 5' (Seal)
Commission No. /� � 90 6S (Seal)
"0 i
IEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August 30, 2018 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xxxx Residential
PERMIT APPLICATION FOR: To Select from dropbox click arrow at the end of lino , , C A,4
`PROPOSED, IMPROVEMENT
LOCATION: erg
Address:
Legal Description: 8 3540 E 200 FT OF N 225 FT OF NW 114 OF NE 114 OF SW 1/4.LESS N 40 FT AND LESS AS IN ORD TAKING CA X82-SM5- (0.80 AC) (OR 3974-2040)3501
Property Tax ID #: 2408-312-0001-000-3 Lot No.
Site Plan Name: 3501 Orange Block No.
Project Name: 3501 Orange
Setbacks Front Back: Right Side: Left Side:
r.
DETAILED DESCRfPTION'OF'V1iORK '+'" - ` '�" '�`
1. Modification of mens and womans baths to meet handicap requirements.
2 Inst..II handFaiI5 :.. haRGli I!n(1 rP^ i i. 1 G ..il line
CONSTRUCTIQN"INFORMATION:
u
)t(ona wor to e e orme under t-checkispermit a apply:
0HVAC ID Gas Tank Gas Piping _Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 8000. UtilitiesSewer 0Septic Building Height:
OWNER/LESSEE :" r
:CONTRACTOR
Name_. W laN 2✓S y CMG) .$ Nic1 'MA
Address: 3 5 o) Q V- A „i rrL � ^ e iyr (
City:__i=�- �(P�CP . r-2- State: FL
Name: Qr6 2S
�l
-ompany: R✓L I -P S-1Yr t.GA oo
d4
Address: 6 l 6 S Z Co/o
-City: Cl P) State: FL
Zip Code:. '> Vi? S° Fax:
Phone No. 13 W C`.,el/snyl n WGG�?c4
Zip Code: 3 Lf 7 $ Fax:
Phone No. % 3 - 9 It a - 6 A
nS
E-Mail: 7"0>/'� Lin Ltv,!` 3(lrt s�
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: V- 6Ay U 1 ( R rl Q Ll 0
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�f
��r
SUPPLEMENT/iG-CONSTRUCiiON k1tN-" INFOgN�A"ffON
DESIGNS ENGINEER: _`Nat Applicable.
MORTGAGE COMPANY
.� Not Applicable i.f
D
Name:
Name:
Address: -
Address;
i
1
Gryi State:_
City:
state:_
f Zip: ' Phone
I Zip: Phone:
a}
. I FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:.
_Not AppOcable
„�
Name.
Nome: ..
f
Address: ..
Address:
_
i:OtY'
city -
Zip: -'Phone:-- t .-- .
Zlip:'- Phone:
j
I
OWNER/;CONTRACTOR AFFIOVIT: Application ishereby made to obtain a permit to do the work and installation as indicated..{
J certify, thatno work or installation has commenced prior to the issuance of a permit.,
St Lucie County makes no reoresenta4ipn that: is erantine a dermitlwill xuthnAre the oermit'holder to build the sublect structure
in consideration of the granting of this regtles
in accordance with the approved plans, the Fit
The following building permit applications are
accessory structures, swimming pools, fences,
"TYARNING TO OWNER: YOUR FAILURE"
TWICE FOR IMPROVEMENTS TO YO
POSTED ON THE JOB SITE BEFORE
f h1limituire or ner/ Lessee/Contractor as Agent for 0wner,-.
i STATE OF FLORID
q (�-� t� Ig1
COUNTY OF Vajr__Uj il.{ e-" tf
a
Personally Known -.O
ree that I will, in all respects, perform the work
L Lucie County Amendments.
a full concurrency review: room additions,.
and accessory uses to another non-residential, use
OF COMMENCEMENT MAY RESULT IN. YOUR PAYING
'ICE .OF COMMENCEMENT MUST BE RECORDED AND
N: IF YOU INTEND TO OBTAIN FINANCING, CONSULT'
! YOUR NOTICE OF COMMENCEMENT." _
�ofco ra or/Uc se Holder! l
3
r l.zn '
1
R Produced Identification - Personally Known N OR Produced Identification
N tjQ type of ldentifitab n .
e of No ryPubH-5 t o FlP a
Issi N� 1< MEKCOBB
�•�.NeR Elk- stateof Florid,
Caemlut,n 86G 21as73
^•—..ram — t4� ^—MYLanm.E�i[cUuolUlU1:
COUNTER REVIEW I REVIEW
Commission No
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