HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/15/2015 Permit Number:
•
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
PERMIT APPLICATION FOR: Concrete
PROPOSED-IMPROVEMENT LOCATION:,
Address: 2300 Virginia Ave
Legal Description: Please see attached.
Property TaxJD# 2415-504-0770-000/8 Lot No.
Site Plan Name: St. Lucie County Administration Complex Block No.
Project Name: St. Lucie County Administration Building-ADA concrete improvements
Setbacks Front Back: Right Side: Left Side:
DETAILED:DESCRI_PTION OF WORK: _
Remove and replace concrete in parking area crosswalk and handicap ramp to ADA compliance on
west side of the Administration Building.
CONSTRUCTION INIFORM_A:ATIO'N. k Y `
Additionalwork to be nerformed under t ispermit—check all appy:
11HVAC Gas Tank Gas Piping _Shuttersn Windows/Doors
I�
❑Electric LIN.umbing Sprinklers Generator E] Roof
Total Sq. Ft of Construction: 450 sq.ft. S . Ft.of First Floor: N/A
Cost of Construction:$ 4,800 Utilities:In Sewer Septic Building Height: N/A
BS
CONTRA
CONTRA
Name St.Lucie CountyName: Owner/Builder
Address:2300 Virginia Ave Company: St. Lucie County
City: Fort Pierce State:F Address: 2300 Virginia Ave
Zip Code: 34982 Fax:462-1444(Facilities) City: Fort Pierce State:FL
Phone No.462-1432-Joe Turner, Project Manager Zip Code: 34982 Fax: 462-1444(Facilities)
E-Mail:turnerj@stlucieco.org Phone No. 462-1432,Joe Turner, Project Manager
Fill in feesimple Title Holder on next page(if different E-Mail: turnerj@stlucieco.org .
from the Owner listed above) State-or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: NSA Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenci ork or recording our Notice of Commencement.
s
_Signature of wner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA ��pp STATE OF FLORIDA
COUNTY OF /�1'•oLua��- COUNTY OF
The forgoing instrLpent was pcknowledged before me The forgoing instrument was acknowledged before me
this Pk day of 20 15 by this day of 20 by(Name of person acknowledging) (Name of person acknowledging)
(Si nature of Notary Public-State o Florida) (Signature of Notary Public-State of Florida)
ppY FVC.
MEW,RILEY
Personally Known ✓ � �� �I Personally Known OR Produced Identification
Type of Identification Pr isi - FXQIfP.S nP(:Amha Type of Identification Produced
Bonded lMuTroy Fain Ir surance 800-3857019
Commission No. a Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS