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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 ^ ;.'. t"• `` ROB Commission No. GGotnst-$"eAF�DANIELLEA. COMMIS510 EXPIRES: June 26, 2021 •'rP,'6t^• 'F N#G eB3 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