HomeMy WebLinkAboutBuilding Permit Application 11/20/2017 14 : 59 From : 4077925629 Alliance Integrated Wehfax Page : 2/3
ALL APPLICABLE INFO MUST SE COM+?LETO FOR APPLICATION TO BE ACCEPTED
Dam:1 -13-17 Permit Number; Master Fiera V4 1741 0326
o '
e.-ading 00MI"t APP1ICl toil
NOV 1 2017
Pidnnr44 an..d 0evetoprnent services
! Building and Code Requlotion bivisiori
( 1300 VirgrniaAuenue-Fort Pierce Ft 3082 BY......: .......
Prone;(172)462-1553 Fw(772)462 1578 Carnmernial Residential ..
I PERMIT APPLICATION FOR:
To Select from drapbox click arrow at the and of line
PRaPOS#=Q iMPREi1EtYlENT LOCATION.':
Sr3itress: 3214 Avenue 0
Legal U$scrippon' hiwv' f-woltybV74ie;4tv;ti.
Property Tax iD Lut NU
D
5ite pian fUarie;.Fan H Qtillar Store_ .:..: BIOt k No,.-
Project Name: Family Dollar Store
Setbacks . Froht :Bark: . Right5ide Left.Sid
e;,
I DETAILED DESCRIPTION:OF V►O
This rr iit request is for*6installation of a .too;imp; 1201240 volt sih6lie phase overhead temporary
Pols.plus connection tb the jah.ti'aller for the duration of the dortstructian of this store.
-
-
-
CONSTRUCTION INFORMATlM
i tone K°or o Baer.Orme under this perm .—c ec a MIT
Ft : tsps Wank ❑has Pining shutters Windows/D .6rs
Eleetrii; �PTiirrhirig 'spnnklers L.^tGenerafor Li1.R.ot€ rsorpitci+
(nrar I q i+r n a nnerrt Minn• ,,,, �_•_•_ ir+ d.cii
Cost of Construction.$ CrtSt:of Temp rt GvG; G ut:111t es; Sewer Sep#ic : Building Height,,
! QWNER/LESSEE. CONTRACTOR:
r1n le Preoert(es LLC F? ae S u^
. !'Jame 9 �tsme• -
i lcJress 7999 N Federal HVVY Suite 200 Company,Alliance Integrated Services LLQ.
City: So a baton state:Fi Address:;5101 f3rerwocsd Street i
Zip trona: 33487 Fax: : City. Sanford State:
P3� ffNo 407266.26 ~rane ax;
.. 407-3204056 mobile#407 23h�5G29
i
Wall, Phone No.
Fill In fee simple fiftle Holder on neat page(.if differeric E-Mail: ocoet�atllartceir:tegrated.com i
fir orn the Owner listed above) Stage or County License:
c 001727
i
i
tf value of co;stNttlon is$250 or more;a RECORDED Ntitlee of Commencement Is required.
11/20i2017 14 : 59 From : 4077925629 Alliance Integrated Uebfax Page : 3/3
..... ......... ............
i SUPPLEMENTAL CONSTRUCTION,LIEN LAW INFORMATION
IDIr516NER ENGIN€€R. NotAp Cable 1 MORTfaAGE COMPANY: �NotApplicable
Nemo; Nama:
Address: Address:
CityC State: City: State:
Zip: Phone Zip: Phon.e: .
..... ...... _
FEE SIMPLE TITLEHOLDER. Not Applicable BONDING COMPANY _Not Applicable
Name: __ Name:
Address: Andress:
1 City:
i
Ztp, Phone: 2tp: Phone
OWNER]CONTRACTOR AFRDVIT:.Application is herebymadeto obtain a perrriIt`to do the workand installation as indicated. .;
1 certify that no work or installation has commenced prig to.the issuance of a permit.
St.:lt cle Countsr makes no repre'}entation that is granttng.a permit v Ill authorize.the per holder to build the subject s %t
ore
Whit:is ir,ton itt WIR any applicable Home Owners Association ru es,bylaws or an covenants that may restrict pr prahl'itsuch
str�s'eture,Riease consult with your Hame Liwners Association and review your deed fOr.any restritti0ns which may apply,
in consideration of tne.granting:of this requested permit Ido hereby agree that I will,in all respects,perform the wark:
In accordance with the approved,plans;the Florida Building Codes and St.Lucie County Amend. eats.
The following:building permit applications are exempt from undergoing a full concurrency review.,room additions.
accessary structures,:swimming poois,fences,wails,signs;screen rooms:and attessory Uses to another non-residential Use
WARNING TO OWNER;Your failure to Record a Notice of Commencement may result In your paying twicefor
improvements tp your property.A Notice of Commentement must be recorded and posted on the jobsite
before the first inspection.if you intend to obtain financing,consult with iender.or an attorney before
carrimencina work or rotording Vour NA ice of Commencement:.. ..
f
re of 0
See for as Agent for owner Signature of Contractor/License Holder-
STATE
alderSTATE OF FLORID STATE OF FLORiPA
COUNTY OF iY?
The f0 ng inst rrti3rit w acknowledged biafere rtie 1 The forgoing ittsttttthent was acknowledged E fore ene
f
I
thlS. ddYDf Z(t by F chis 08yof rt y_ 20 tD(
N. e of Pers . aking statement ! Name of person making statement
Personally Known^`f�; OR Produced Identiritatidn l Personally Known. QR,produced ldenti canon.) _
i Type of Identification i rye of identification
Produt '
Produced
. f t
f Signature of Nata. * atieoo�iAioNt +yer-Lcasia lSi ature f Notary Pubii rule ?,;t
p , :Jt j J. G Stile.01.'10ila
< My Cammiss,an GG?55t 1a 1A nm tr tes wee'
t°t+
Expires I01" pit t : '� f r
'. CO?1`t1it55iCnNC.. IS7Or�mtsssOn}NO. .SS„ F" f{l
I
REVIEWS . FRONT ` ZONING SiJPERVlSOR pt;4N5 ? VEGETATION SEA TURTLE MANGROVE
.COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW j
DATE ...,
l.RECE VfD ... r ..
:
l
DAT -T
_
COMPLETED
t
i
I _
Rev.8/2/17