HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONC 1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: G1\��� SCANNED Permit Number.y�vd '-•d3CO`
BY
`. zi= St. Lucie Countv
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 x Residential
PERMITTYPE: S V�
PROPOSED (MPROVEfVIENT LOCATION:
Address: 2935 - 2969 W MIDWAY ROAD
Property Tax ID #: 3405-421-0001-000-2
Site Plan Name:
Project Name: DRAWDY PROPERTIES BUSINESS PARK
Lot No.
Block No.
DETAILED'DESCRIPTION OF'WORKi'
FINAL INSPECTION OF SIGN THAT WAS INSTALLED ON PERMIT #1305-0128 THAT WAS NEVER FINALED.
C •�'bas�o�a$�
CONSTRUCTION INFORMATION: :Y
s
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: —
Cost of Construction: $ _Z1tJCCs - O O
Sq. Ft. of First Floor:
Utilities:^= Sewer -Septic Building Height:=
Pitch
OWNER/LESSEE:
CONTRACTOR
Name DRAWDY PROPERTIES LLC
Name: JOEL PERCY
Address:10690 W MIDWAY ROAD
Company: INTEG-CRETE CONSTRUCTION
City: FT PIERCE State: _
Zip Code: 34945 Fax: 772-468-1846
Phone No. 772-216-6806
Address-10550 W MIDWAY ROAD
City: FT PIERCE State: FL
Zip Code: 34945 Fax: 772-252-5285
Phone No 772-579-3845
E-Mail: PHIL@CSACRES.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail BECCA@INTEGCREfE.COM
State or County License CGC1523363
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 LAIN INFORMATION
r
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
�X Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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 accessary 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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UN�i(
Signature of Own / Lessee/Contra c r Agent for Owner
Signa We of Contr Ictor/License Holder
STATE OF FLORIDA
COUNTY OF 5� Lu-cre,
STATE OF FLORIDA
COUNTY OF ST Lu-c-te-
The for ing instrument was acknowledged before me
Oay
The forging instrument was acknowledged before me
j4f' "day
this of �jwmn_ 20� by
this of 201_1 by
(�h r l l r� m l�r-.�d•�
�ao� �r�..�
Name of pers n making statement.
Name of person making staterrient.
14-
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
A10,
Produced n
Produced
(Signature of Notary figs' a r SIONkGG 009206
(Signature of Notary Public -St
XPIRES: October 4.2020
No. •••oY`7�$WyPuNwUrMerwnters
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Commission No. (OQaf
cLq�.....g4,"GGOCommission
70,E7BORAHEEGAa
JSr 4, 20
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