HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: yVa-a.\ \ \ Permit Number: ��O��OrJa3
SCANNED
�.. .a BY
St. Lucie Coun RECQJVED
Building PermWApplication
Planning and Development Services LAPR 2 2 i0i9
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 e County, Permittinq
"-"""'' Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Concrete
PROPOSED IMPROVEMENT LOCATION:
Address: a:5o3Edwvfds �d Ck, P'%vf L4- 399'�G
Legal Description: Attached
Pronertv Tax ID #: 2429-111-0001-000/1,2429-111-0002-000/8,2429-111-0003-000/5
Site Plan Name: Sedona PUD
Project Name: Sedona
Setbacks Front Back: Right Side: Left Side: _
DETAILED DESCRIPTION OF'WORK
Construction of CBS Wall Trash Enclosure
Lot No.
Block No.
.,CONSTRUCTION INFORMATION:`
Additional work to. e nertormecl under tispermit—check a appy:
❑_ HVAC1:1 Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Total Sq. Ft of Construction:
Cost of Construction:
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Edwards Landing, LLC
Name: James Weeks
Address:1732 S. Congress Avenue #343
Company: Stan Weeks & Associates
City: Palm Springs State: FL
Zip Code: 33461 Fax:561-641-0971
Phone No.561-641-8020
Address: 2700 S Header Canal Road
City;. Ft. Pierce State: FL
Zip Code: 34945 Fax:
Phone Nd. 772-528-1130
E-Mail: grwexler@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Weeksfarmsfl4@aol.com
State or County License: CBC052103
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 OWN R: Your failure to Record a Notice of Commencement may result in your paying twice for
improve me t y r property. A Notice of Commencement must be recorded and posted on the jobsite
before t firs n ectic n. If you intend to obtain financing, consult with lender or an attorney before
comme cin or recording our Notice of Commencement.
Sign ure of Owner/ Lessee/Contractor as Agent for Owner
Siignat�ur f Cont cto ice se Holder
STATE OF FLORIDA
S OE OF FLORIDA
COUNTY OF Palm Beach
COUNTY OF Palm Beaty
The for oing instrument was acknowledged before me
this y day of Aaal 20a by
The forgoing instrument was acknowledged before me
this day of Aare 20,6 by
Gregg Velper
Jim weekyn
Pers nal
ame of erso makin statement
y Know P� OR Produced Identification
ame of perso aking statement
Perso alli Known =OR Produced Identification
Typ of I
Pro uce
of i n
Type f I entifi ti
Prod ce
IL
2
(Signature of Notary Public tai�tt.,
'u�t� • •• ;, IELLE A. ROBRAILLE
Commission No. GGo7nsi '� i• %QPMISSION # GG 0777
,,, od ,.op •• EXPIRES: June 26 2021
• Bonded llw Notary public u
nature of Notary Public- Stat o, p
?*?ti• •"... I: OANIELLEA. ROBIT
C mission No. GG07n51 1�COMMISSION#GG
'F,•,•FtgP EXPIRES: June 26, 2
Bontletl TLru Notary P-W6
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEWS
FRONT
ZONING
SUPERVISOR
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
751