HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:`
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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: Demolition
PROPOSED. IMPROVEMENT LOCATION:
Address: 2950 Rosser Blvd, Port St Lucie, FL 34953
Legal Description: Demolition of interior and cut new door openings.
Property Tax ID#: 4314-502-0015-000-5 Lot No.
Site Plan Name: Rosser Library Interior Renovation Block No.
Project Name: Rosser Library Interior Renovation
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:'
Additional work toe nertormed under tispermit—check all appy:
W]HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
ZElectric Z Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 21,473 S . Ft.of First Floor: 20,976
Cost of Construction:$ Utilities:ln Sewer F Septic Building Height:
a ,
OWNER/LESSEE: CONTRACTOR:
Name St Lucie County/Port St Lucie city Name: Luis R Valderrama
Address:2300 Virginia Avenue Company: AnatomiConstruction
City: Ft Pierce State:FL Address: 3125 Fortune Way, Suite 13
Zip Code: 34982 Fax: City: Wellington State:FL
Phone No.(772)462-1553 Zip Code: 33414 Fax:
E-Mail:whiteg@stlucieco.org Phone No. (561)221-0226
Fill in fee simple Title Holder on next page(if different E-Mail: LRV@anatomconstruction.com
from the Owner listed above) State or County License: CGC1510494
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL'CONSTRUCTION LIEN LAW KFORNIATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Edlund Dritenbas Binkley Architects&Associates Name:
Address:65 Royal Palm Pointw,Suite D Address:
City: Vero Beach State: FL City: State:
Zip: 32960 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: _Not Applicable
Name: Name: United States Fire insurance Company
Address: Address: PO BOX 19731.305 Madison Avenue
City: City:Morristown,NJ
Zip: Phone: Zip: 07962 Phone: 973-490-6600
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.
s
Signa a of Own /L e c or as Agent for Owner Signat on
STATE OF FLORIDA LOR DA
COUNTY OF 36pak COUNTY OF PALam
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of sG 20 Eby this_LV day of s'K''r 20 I.L by
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
I '
Personally Known IL OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.FFISI ba"It k'P eal) ASIA SI�iV'•i Commission No. r—r (sl Da QP?.? 'seal) ASIA SleWa�
COMMISSION ' _ = COMMISSION#FF151
Envu-i"RES. Aug. EXPIRES; Aug- 141 911"
Revised 07/15/2014
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