HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:JGO
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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: kCIE-,
PROPOSE;p IMP#ROUEMENT LOCATION '
Address: 5050 S 25th St. Ft. Pierce FL. 34981
Legal Description: White City S/D 04 36040 S 150 FT OF E 29 FT OF W 355 FT of W 1/20F Lot 62-less
(0.97 AC-42.253SF) (MAP 34/04S) (or 1702-8 2478-1497)
Property Tax ID#: 3403-502-0096-010-9 Lot No.
Site Plan Name: Cheyne Professional Complex Block No.
Project Name: Cheyne Complex
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
DETAILED:DESCRIPTION 0`F 1NORK =4
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Install vapor barrier, wire lath with paper backing and stucco south wall (back wall)
CONSTRUCTION, INFORIVIATIOIV
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Additional work to be performed under this permit—check all
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HVAC Gas Tank F]Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1120 sqft. Sq. Ft. of First Floor:
Cost of Construction.$ 2.300.00 Utilities:[]Sewer 0Septic Building Height:
OWNER/LESSEE .....
C z C R.
NameAZLJW
arl i es
Address: x) i� / Company: E & B Elite Services Inc.
City: F-1, cre<_ State:VL- Address: 5821 StarcherAve.
Zip Code: I Irl Fax: c/ City: Ft. Pierce State:FL
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Phone No. 77 — �! 0 $ Zip Code: 34947 Fax: (772)465-2351
E-Mail: Phone No. (772)577-0826
Fill in fee simple Title Holder on next page (if different E-Mail: ERLGAINES@COMCAST.NET
from the Owner listed above) State or County License: CGC 1517445
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEIVIENTALCONSTft,UCTLQN LIEN LAtN INFORMATION
L .-
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 or recording our Notice of Commencement.
&'L -0,�_ s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �CS.'� COUNTY OFl ��
The fo oing instru ent was acknowledg efore me The fo ing instru was acknowledged�before me
this�day of 20��y this,�day of 20 fGy
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(Na erson acknowledgi ) (Na a of person acknowledging)
(S' - t e of Florida) Si tat
Public-Se of Florida")
ANGELA M HUFF
Pe a'SII rd imNO r Publi&MMILg ddi tification Personally. OR Produced Identification
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Commissioi }o. = Commissio - N A (Seal)
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Revised 07/15/2014 �S Maj 4j30
?079.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS