HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/24/16 Permit Number: 110N ,
�> VI ECE Rf
Building Permit Applicati®n AUG 2 4 2016
Planning and Development Services PERMUTTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Concrete
PROPOSED 1MPROITEMENT LOCATION Y vY
Address: 341 Barra Clough St., Fort Pierce, FL 34982
Legal Description: &4&4 If Pa1nn &J'd'el"S fes, 131-0Lk
Property Tax ID#: 0�� �Or �c`2 Oct Lot No.
Site Plan Name: N/A Block No.
Project Name: COLLINS PARK BASKETBALL SLAB
Setbacks Front+/-35 Back: +/-100 Right Side: +/-40 Left Side: +/-40
/
fo4r, J0,,9 N6LJ Coi„lcz£lf sLAB AJP YaurN 94sAzr64�1L X3o xy
/l`O fc�i1Ngs /Uo !-. T�l2E SQA,tcT�tQES. 5 98 0AWXA�r�jcfl�d/•
�'/1JerC'
z =
COiVSTRUCTIONN1=FORMATION ,
Additional work to be pertormed under this permit—Check all appy:
HVAC Gas Tank OGas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1260 S�Ft.{of First Floor: N/A
Cost of Construction:$ 4978.00 Utilities,-'n Sewer OSeptic Building Height: N/A
OWNER/LESSEE � '� � � ' ,' CONTRA�TflR � x
Name s•_ Luce c Az 1"14" f Name: PAUL KUHN
Address- r.. Company: HERITAGE CONTRACTING SERVICES, INC.
City: Yrce'12 e State:_ Address: 3690 N US HWY 1
Zip Code: .3`/ql:;�L Fax: City: FORT PIERCE State:FL
Phone No. Zip Code: 34946 Fax: N/A
E-Mail: Phone No. 772-216-6612
Fill in fee simple Title Holder on next page(if different E-Mail: PAUL.K.HCS@GMAIL.COM
from the Owner listed above) State or County License: FL CGC1507158
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: 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
comme_nzwtg3work or recording our Notice of Commencement.
1�7
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature ol Contractor/License Holder
STATE OF FLORIDA / STATE OF FLORIDA
COUNTY OF ;V. Ux"1:1-, COUNTY OF 41 A
The for ing instr ment was acknowledged before me The for ing insti ent was acknowledged before me
this day of 20 .1 Jnby thisoday of 20 by
(Name of person acknowledging) (Name of person acknowledging)
6 A � I �-.t� as-9- 041 k �_g I D, A,0--.
(Signature of Notary Public-State of r1orida) (Signature of Notary P lic-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced G Type of Identification Produced EE. L
Commission No.F iI' o
� ;:"•�, ( SENmmiS. NIELSEN on No.
ommissi �
, KA
Corn FF 115ires537 •�: REN S. NIELSEN
My Commission Exp' -+
3. *_ Commission k FF 115631
Juliv
iJ O. �Y,
��''%;9���`�� �'•%°����+`A�, June 1s2.o201g�res
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
II �I