HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �`����6 Permit Number: ��d -CS 913
RECEIVED JAN .� 6 2016
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 ✓ Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 0erylO
,PROPOSED IMR01/EM,ENT-.LOCATION
Address: Cayuga Ave
Legal Description: San Lucie Plaza S/D-Unit one-BLK 65 lots 10-18
PropertyTax ID#: 1428-702-1537-000-2 Lot No. 10-18
Site Plan Name: Runway's End Commerce Center Block No. 65
Project Name:
Setbacks Front Back: Right Side: Left Side:
Y, s
DETAILED DESCRIPTION CFWORKa
Demo parts of existing 4" concrete floor for future floor drains
CONSTRUCTION INFORM ATION ,
Additional work to be nertormed under tispermit—c ec a appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 5,000.00 Utilities:cn Sewer F]Septic Building Height:
01NNER/LESSEE CONTRACTOR:
Name STB Runways End LLC Name: Chris Trentine
Address:3005 SW 2nd Ave Ste 101 Company: CBT Construction and Development
City: Fort Lauderdale, State:Fl Address: P.O. Box 1057
Zip Code: 33315 Fax- City: Tavernier State:FI
Phone No.305-852-3002 Zip Code: 33070 Fax: 305-852-3062
E-Mail:admin@cbtconstruct.com Phone No. 305-852-3002
Fill in fee simple Title Holder on next page(if different E-Mail: admin@cbtconstruct.com
from the Owner listed above) State or County License: CGC4846756
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEIVIENT,4L CONSTR'�JCTIQN lIEIV�LA1l1/ IN��ORMATION „ , "" � ''
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
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:
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
commencing work ecordin our Notice of Commencement.
s
_Signature caner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF aLMW
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 10,day of .-r64. 2014 by this�'N`day of," 20 L( __by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) Signature of Notary Public-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known V/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.3 aG (Seal) _ Commission No. 3 a i (Seal)
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Revised 07/15/2014 f . ��.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS