HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t�
Date: 12/7/2016 Permit Number:
RECEI y':-D DEC 0 8 2016
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 Residential x
PERMIT APPLICATION FOR: Demolition Li
PRf�PaSED IMPROVEMENT LOCATItN ...
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Address: 8600 S. Indian River Drive
Legal Description: HAL S THOMAS RE-S/D OF LOTS 1,2,3,4 OF RANSOMS S/D OF LOT1 (PB 1-206)S 1/2 OF N 1/2
OF FOL DESC PROP:THAT PART OF LOT 1 LYG E OF FEC RR-LESS S 188.5 FT AND LESS NYL 200 FT AS MEAS ALG RD-(OR 3823-205)
Property Tax ID#: 3519-501-0003-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED D 5 RI'PTION'OF .WORK
Remove (2) 16" x 16" x 5' free standing CBS columns at drive
CONSTRUCTION]NFORIVIATION
Additional work to be DerfErmed under this permit—check a appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: n/a S Ft.of First Floor: n/a
Cost of Construction:$ 450.00 Utilities:Sewer Septic Building Height: n/a
OWNER/LESSEE CONTRACTOR
Name Fifth Third Bank Name: Michael J McFarland
Address:5050 Kingsley Dr 1MOB10 Company: Vanwal Contracting, Inc.
City: Cincinnati State:OH Address: 5475 NW St James Dr, Suite#401
Zip Code: 45263 Fax: City: Port St Lucie State:FL
Phone No. Zip Code: 34983 Fax: (772)873-1181
E-Mail: Phone No. (772)418-6265
Fill in fee simple Title Holder on next page(if different E-Mail: mike.vanwal@gmail.com
from the Owner listed above) State or County License: CGC 1509090
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL Ct3NSTRUCTION LItN LAW INFCRMATIC►N5:2 ME
11'm -
DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: xx Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: xx 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 thepermit 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
commerging work orrecording our Notice of Commencement.
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S' na r o Owner ssee/Contractor as Agent for Owner Signatuv6 of Contr 'tor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF u C. IQ_ COUNTY OF .SST L- U L I E
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this_7day of e.C 201-4 by this__7 day of_O'er C__ - 20 L v by
�_ / N fie" L Li4/tri lA—" ���/Lff A L_ NCC&VL a/ti O
(Name of person acknowledging) (Name of perm acknowledging)
N,,a'
(Signature of/ of fry Public-State of Florida) Signature of Not ryublic-State of Florida)
Personally Known OR Produced Identification Personally Known�pouced Ide
Type of Identification Produce��ja�`u�� 8."sr°rur�Nlev,�Y Type of Identification Produ� �P0 901378
o MY COMMISSION t FF 901378 * * EXPIkr'`!,,iv x+09 17,2019
Commission No. # * E)f lNovember17,2019 Commission No. "r �°� BondedlFe�iA iNcIa S!kes
'.-_T W_p- Bonded'&Budget Notary Senkes
t OF
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS