HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION!TO BE ACCEPTED
Date: 09/27/2016 Permit Number: Vro `_\G
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Building Permit Application
Planning and Development Services
Building qnd bode Regulation,Division
300 Virginia Avenue'Fort Pierce Ft 34982
Phone; (772)462-x.553 Far: (77/2)462-1570 Commercial Residential �
PERMIT APPLICATION FOR:
Demolition
Address: 1050 TILTON ROAD, PORT ST LUCIE, FL 349.52
Legal Description: ST LUCIE GARDENS 23 36 40 I3LK 2 LOT !`-LESS RD RIW AND LESS ADDN ROAD RIW
AS IN OR 2237-1361- (9.56 AC) (MAP 34/23N) (OR 877 2243 : 2019-2086; 27242716: 2892-2467)
Property Tax ICS#: 3414-601-06'12-0001 Lot No.12
Site Plan Name: - Block No. 2
Project Name;
Setbacks Front Back; Dight Side: Left Side:
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!+ -a:+�D a%' ~' �x�.,.. t.„ . ..�-' ""_ .. _.-:, '" ...."-mss.I,•i' F°•. .n -- - .'-r .rs ; <-`....y ',.f.- ,y y '>t.
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LINVAC Gas Tagil. _,. Gas P{ping Shutters
Windows/Doors
Electric Plumbing Sprinklers 13 Generator Roof Root pitch
Total Sq. Ft.of Construction 9,483 S lit. of First Floor:
Oseptic
dost of Gonsfiruction; $ Utilities QSe,nrer � Building Height: 1 STORY
G, j�,e� x . �[- cc � �'� 7 s'�"'.xt.T,t .v b {�-�•j� 'wa.r �".,... �"t,: 3 S.,
Name RAYMOND RODDY Name. RONALD WOLFE
13426 HARBOUR RIDOE BLVD APT 66. ComBANKERS MAINTENANCE & INSPECTIONS
Addresssn Company-
City: PALM CITY Stag; I`'- Address 931 12TH STREET
------------
dip Code: 34990 Fax; salty: VERO BEACH State FL
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Phone No. T Zip Code: 32960 Fax. 772-999-2271
-Pia{E: Phone No, 712242 1394 EXT 103
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Fill In fee sim pie Title Holder on next pagg(if different E-Mail: BRANDI,B@BMIREO.COM
from the Owner listed above) State or County License: FL CGCO68528
if value csf ct�e�structic�rA-is$ pt'car more,a RECC�stI�EG Notice Safi warn ncomeni Is rea+alp e: .
kIN J,
DESIGNER/ENGINEER:`\ x r Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: blame:
Address: Address;
City: State: City; State:
Zip: _. Phone _ Zip: Phone: _ .
FEE SIMPLE TITLE kOLDER x Not Applicable PONDING 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 yy makes no representation that is granting a perrnit will authorize the permit holder to build the subject structure
which is in cantlict with any applicable Home Owners Association rulas, 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 apprpved 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 Commencpmant 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 your Notice of Commencement.
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S� nture ct.Gwner/lesse _e�;ttra � s, er�t fir �nrne ;errre oaf Crnt>actor/t icnsP kiQlder
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STATE CSE b. yy STATE OF FLORIDA
COUNTY OF ��OIr�������C � COUNTY Eq
The forgoing Instrume!]t utas acknowledged before me The for=oing instrument was acknowledged before.me
this ay of„((TD l, � _, U ( by this day of l ! 20 by
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(Name of person acknowledging) da �e f pgr-on acknowl ging J $
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(Sibriature f lVotar�P,4-kalie=_� ate of flor�da 1 `s: (Sign ure of of y Public-State of Florida )
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Person iiy.Kndwn Ci;Produced identification Personally Known OR Produced ldenti i t n�
,.
Type ar-Idea ificativr'Nroducea Type of Identification Produced
R
Commissi n No — (Seal) Commission No (Se.
Revised 0711-5/2014
REVIEWS FRONT ZONING SUPERVISOR f'lA;JS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIE=W REVIEW REVIEW REVIEW REVIEW
SATE
COMPLETE
INITIALS
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Pianning:roevetopment�serv�ces ASBESTOS NOTICE
,-Building&Gode Regulation Division..
2300 Virginia,Avenue_
FortPierce,FL 34982
Pbone:(772j462-2172 'Fax:(772)462-8443
Asbestos Notice to Contractor
November 10, 2016
BANKERS MAINTENANCE AND INSPECTION LLCcwtp
RONALD E WOLF
93112TH ST SE
VERO BEACH, FL 32960
RE: Building Permit Number 1611-0196
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law.
*Signature
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/ Date
11/10/2016 10:54:16 AM