HomeMy WebLinkAboutBUILDING PERMIT APPICATIONr-'
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: 11a3��� Permit Number. `1\0y_dsa'G
RECEIVED
Building Permit Application 2 2 119
Planning and Development Services
Building and Code Regulation Division [�APR
cie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 — -
Phone:(772)462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: _-4)1"\\ '(YlDv
Legal Description: Attached
PropertyTax ID #: 2429-111-0001-000/1,2429-111-0002-000/8,2429-111-0003-000/5 Lot No.
Site Plan Name: Sedona PUD Block No.
Project Name: Sedona
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Construction of Mail Box Pavilion
SCANNED
BY
!�L Lucie County
,CONSTRUCTION INFORMATION:
Haa¢ionaiworKIII De
�HVAC
nerrormea
Gas Tank
unaercnispermit— cnecKau
DGasPiping_Shutters
iniji apply:
Electric
0
Plumbing
Sprinklers
Generator
Total Sq. Ft of Construction: 104
Cost of Construction: $ �nr /ram
S Ft. of First Floor: 104
Utilities: Sewer ElSeptic
QWindows/Doors
W1Roof = Roof pitch
Building Height: 12'
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: 9r`^'exler@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 CONSTRUCTIONLIEN LAW INFORMATION
Nam
Addl
City:
Zip:.
NEER: _ NotAp
MORTGAGE COMPANY:
Not Applicable
Name:
Address:
State: _ City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Address:
Zip: Phone:
_Not Applicable
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 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 O R: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements t y ur property. A Notice of Commencement must be recorded and posted on the jobsite
before I s Ins ection. If you intend to obtain financing, consult with lender or an attorney before
com ncin o or recording your Notice of Commencement. / / /
Sig ure o wner/ Lessee/Contractor as Agent for Owner
Signatu ontrac r/License Holder
STATE OF FLORIDA
ST E OF FLORIDA
COUNTY OF Palm Beach
C NTY OF Pa1m8each
The forgoing instrument was acknowledged before me
APm
he for oing instrument was acknowledged before me
this day And 20_I_q by
this day of 20A by
of
Greg Wexler
Jim weeks
Name of person making statement
Name of person making statement
Pe so
ally Known �� OR Produced Identification
Pers a ly Known _� OR Produced Identification
Ty e
f I ntif' at n
Type of den 'fication
Pr du
a
Prod ce _
(Signature of Notary Pu [+ �l@A+f Floes_ LE ROBITA
MYCO ISSION#GG077751
(Signs ure of Notary P lti• a of
�e®[ M ISSION#G0077751
Commission No. ccoms p:? Bltt SS: Ju�28U2021,m�
Aaary
ommission No. GGom •PPS+dune 28 2021
' 1.1* . 9aMM Th ffl�Ii Public UMetwAtem
B"J8
F.REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
II
DATE
COMPLETED
Rev.8/2/17
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