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Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/19/2018 Permit Number: 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 (Building Permit #1712-0227) Commercial YES Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: Legal Property TaxlD #: 6415-502-0011-000-4 Site Plan Name: BURGER KIN Project Name: BURGER KING TEMP POWER -36-40 Lots 11, 12, 14 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Lot No. 11 Block No. RD R/WS TEMPORARY POWER INSTALLATION. WOOD POLE W/ RISER AND WEATHERHEAD, 125 AMP METER BASE, 100 AMP MAIN BREAKER PANEL, (2) 20 AMP CIRCUITS W/ (2) 20 AMP GFCI RECEPTACLES. (2) GROUND RODS. ALL WORK PERFORMED IN ACCORDANCE WITH THE CONSTRUCTION INFORMATION: Mona wor toce-gerrormea under this permit— check an that aooiv: HVAC Li Gas Tank ❑Gas Piping U Shutters COU N T Y ' Permit Number: 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 (Building Permit #1712-0227) Commercial YES Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: Legal Property TaxlD #: 6415-502-0011-000-4 Site Plan Name: BURGER KIN Project Name: BURGER KING TEMP POWER -36-40 Lots 11, 12, 14 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Lot No. 11 Block No. RD R/WS TEMPORARY POWER INSTALLATION. WOOD POLE W/ RISER AND WEATHERHEAD, 125 AMP METER BASE, 100 AMP MAIN BREAKER PANEL, (2) 20 AMP CIRCUITS W/ (2) 20 AMP GFCI RECEPTACLES. (2) GROUND RODS. ALL WORK PERFORMED IN ACCORDANCE WITH THE CONSTRUCTION INFORMATION: Mona wor toce-gerrormea under this permit— check an that aooiv: HVAC Li Gas Tank ❑Gas Piping U Shutters ❑ Windows/Doors Electric 1:1 Plumbing Sprinklers Generator Fill in fee simple Title Holder on next page ( if different from the owner listed above) Roof = Roof pitch Total Sq. Ft of Construction: 0 Cost of Construction: $ 0 S Ft. of First Floor: 0 Utilities:11Sewer liseptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Seven Real Estate Holdings, LLC Name: ' rT— T m±rrC Address: 117 Hidden Glen Way Company: TWIST ALL SERVICES INC City: Dothan State: FL Zip Code: 36303 Fax: Phone No. Address: 50r\k City: State: FL Zip Code: 32309 Fax: Phone No. 850-339-4657 E -Mail: Fill in fee simple Title Holder on next page ( if different from the owner listed above) E -Mail: BTNIST@TWISTALLELECTRIC.COM State or County License: EC13005056 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. StJ?�kRdTatSTRtlt i �4t i#€NI inrt�tMtfiaty: DESIGNER/ENGINEER: Name: _ Not ApplicableMORTGAGE COMPANY: Name: Not Applicable Address: COUNTY OF PINELLAS Address: The forgoing instrument was acknowledged before me City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Type of Identification Address: Produced City: I,' - City: (Sign re of Notary Public- Stat i- t)FE. FOSTER NOTARY PUBLIC Commission No. FF 779779 &IlfTE OF FLORID Zip: Phone: _ Comm# FF979779 Zip: Phone: F1 Expires 5/2/2020 OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 commencing work or recording our Notice of Commencement. Rev. 8/2/17 'Al Signa£ure of Owner/lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF PINELLAS COUNTY OF PINELLAS The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 20th day of September . 2018 by this 20th day of c;pntpmhpr . 20 18 by Robert W. Smith Robert Twist, III Name of person making statement Name of person making statement Personally Known / OR Produced Identification Personally Known %/ OR Produced Identification Type of Identification Type of Identification Produced Produced I,' - I J��, (Sign re of Notary Public- Stat i- t)FE. FOSTER NOTARY PUBLIC Commission No. FF 779779 &IlfTE OF FLORID (Signature of Notary Public -St ri N TARY PUBLIC Commission No. FF979779 — - SMFE OF FLORIDA _ Comm# FF979779 Comm# FF979T/9 F1 Expires 5/2/2020 Expires 5/22020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17