HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q f "
Date: 6 19 8G srdKm Permit Number:_ I 10({I
� BY ELJ RECEIVED
JaJt✓° St Lucie County
JUN 2 7 2019
Building Permit Applicatiollrb-r. Lid, County, Permitting
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: COMMERCIAL
PROPOSED IMPROVEMENT LOCATION: 15CP I a n eFx-,5 a Ark I
Address: 8851 WATERSTONE BLVD FORT PIERCE, FL 34951
Property Tax ID #: 1311-700-0030-000-6
Site Plan Name: Waterstone Community Development District
Project Name: MDF
DETAILED DESCRIPTION OF WORK:
Install 10 x 20 Communication Shelter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Lot No.
Block No.
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
X Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction: 200
Sq. Ft. of First Floor:
Cost of Construction: $� 3ZL Q5 g b Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSE :
C NTRACTOR:
Name C�cNi d
5
qw v
IN me:
Address: / r
Company:AVA CONSTRUCTION INC
City: PICi « State: :)J—
Zip Code: Fax:
Phone No. 6/5--i/ ��(/ �Jj�
Address:1266 MARINA POINT 17-112
City: CASSELBERRY State: FL
Zip Code: 32707 Fax:
Phone No954 381 9789
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail avaconstructioninc@yahoo.com
State or County License CGC1514186
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 LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: TYRONEWESCART
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 1109 RIALTO DR
Address:
City: BOYNTON BEACH State: FL
Zip: 33436 Phone3G53439%4
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
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 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 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."
Signature of Owner/ Lessee/Contractor as Agent for Owner
'Signs re'o Contractor/License Holder
STATE OF FLORIDA 1
STATE OF FLORIDA
COUNTY OF fi Ll�
COUNTY OFBROWARD
The rgoing instrur[,ent as acknowledg dbefore me
The forgoing instrument was acknowledged before me
this day of. 20� by
this +12 day of June 2019 by
JILLIAN RAGOONATH
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
__X__
Type of Identification
Type of Identification *rye ANDREWANDERSON
Produc
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Co mission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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