HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t1
Date: T��� Permit Number: \�d lJ�%5a.s
SCANNED RECEIVED
b ra BY
Q ?; St. Lucie County APR 2'2 2019
Building Permit Application
Planning and Development Services ST. Lucie county, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Concrete III
PROPOSED IMPROVEMENT LOCATION:
Address: n?S(-� / Yir& Ad, 12 &ACC r 5Y9QQ
Legal Description: Attached
Prooertv Tax ID #: 2429-111-0001-000/1,2429-111-0002-000/8,2429-111-0003-000/5
Site Plan Name: Sedona PLO
Proiect Name: Sedona
Setbacks Front Back: Right Side: Left Side: _
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: 1, ,
Construction of CBS Wall Trash Enclosure
CONSTRUCTION INFORMATION: IIII
�HVAC U Gas Tank ❑Gas Piping
❑ Electric ❑ Plumbing []Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2,009.00 /1S�51931 6D
LJ Shutters
❑ Generator
S Ft. of First Floor: _
utilities: Sewer ❑ Septic
❑ Windows/Doors
Roof = Roof pitch
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 No. 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
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 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
befoAthq� first inspection. If you intend to obtain financing, consult with lender or an attorney before
corrfinendirie work or recordine vour Notice of Commencement.
Si ature of Owner/ Lessee/Contractor as Agent for Owner
Signa ct dt Contraor License Holder
STATE OF FLORIDA
ST TE OF FLORIDA
COUNTY OF Palm Beach
UNTY OF Palm B-mc
The for oing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of Am' 20a by
this/,�'dayof April 20,d by
Gregg Wexler
Jim weeks
Name of p erson akin statement
Name of perso making statement
Perso al y KnownOR Produced Identification
Pers no
ly Known./OR Produced Identification
Type of I e tification
Typ of
den ification
Pro ce
Pro uce
IS of Notary Pu
ic,,.� r� o
(Signature of Notary Public- Stat
"•
Commission No. GG0777
` '•= LE A. ROBITAILLE
= i•; MYCA�[PSION#GG 077761
Fa ^
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Commission No. GGotnst-$"eAF�DANIELLEA.
COMMIS510
EXPIRES: June 26, 2021
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Bonded ThruNotary Pt"eUnd& �ters
p' EXPIRE
EXPIRES:
aOo�Thn+Nota
p
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17