HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED T
Date: _I Per'.mit Number:
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Building Permit it A
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Planning and Vevelopment Services
Building and Code Regulation Division
7.300 Virginia Avenue,Fort Pierce PL 34932 St. Lu c P F1_
Phone:(.772)462-ISS3 Fax:(772)462-1578 Commercial X Residential
PEWIT APPLICATION FOR, DemolitionLi
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Address' 6632 South Federal Highway
Legal Description: Model Land•Company OR3795-1215
Property Tax ID# 3415-501-0065-010-7 Lot No,
Site Plan Name: Block No,
Project Name; Tropical Smoothies
Setbacks Front Back: Right-Side: heft Side:.
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Remove interior partitions, cap plumbing'as necessary, cap electrical as necessary, remove ac
ductwork as necessary.
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HVAC Gas Tank ❑Gas Piping
nGeplerator
Shutters ❑Windows%Doors
Roof
Total Sq.Ft of Construction; 2842 50.Ft.of Fi't•stFloor:
Cost of Construction:$ 3 '+.C`t�� Utilities: Seweir[]Septic Building Height:
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~NamelWC1 StaurtLLC _ Name: Thomas:J.TWomey
Address:2336 SE Ocean Blvd.#384 _ Company: L&L interior&Remodeling Inch_-
City: Stuart _ State: FL Address: 2831A Exchange Court
7.1 Code: 34996-3910 Fax;• West Palm Beach FL.
p City:_ State;
Phone No. 77J- d-749).9 Rrfl_ M 97/- Zip Code::33409Fax: 561-686-5862
Phone No.561.686-5853
Fill-in fee simple TitleHolder on next page{if different E-Mail:nietrodesigngroup@aol.com _
from the Owner listed above) State or County•License: C00040324 w
if value of construction is$2500-or more,a RECORDED Notice of Commencement is required,
7AGE pESiGNER ENGINEER: Not Applicable MOCOMPANY: � Not Applicable
Name: DOAl"br v /--ss—ec. NamAddress: G IN 5r Add
City: State: „_ City: State:
Zip: Phone: –2. 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 Count makes no repregentation that is granting a permit vVill authorize thepermitholder to build the subject structure
which is in conflict with anj applicable Home Owners Association rules,bylaws or an covenants that may,re trict or prohibit such
structure.Please consult w th your Home Owners Association and review your deed for any restrictions whir may apply.
in consideration of the granting of this requested permit,l do hereby agree that:l 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 or recording ur Notice of Commencement.
)e- Anv")
WA'Inrl K_1� '
• s
Ignature of Ow r lessee/Agent nature f n 'tracto/ enj
STATE OF FLOAC STATE F OLORIDA
COUNTY OF CCU COUN OF Pame°ad
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of � �u 20[�by this e"day of F°0niery ,20 by
mnaroae J.7wWay
(Name of 6&son acknowledg ) (Name of person acknowledng)
(Signature o otary Public-State Wforida) (Signature of Nota'- Public-State of Florida}
Personally Known „OR Produced Identification Personally Known: OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. s (S�eal�Y gt)TtKiAI. Commission No.
,�!"•—' EY MORRIS
1 N= MY GOMMIMON1�03xi94 + MISSION+MFF1A99t0
EXPIRE&Octobar30,2017 �, EXPIRES August 22,2018
' ,,` u17109U'o159 florttlaN servke.corn
Revised 07/15/2414
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS