HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ' ) •�
Date,.2- /2020 Permit NumberR
d
r
RE14
. .� FEB 1 9 2020
Building Permit Applictri-nitting
on
Planning and Development Services D e p a i tm e n t
Building and Code Regulation Division St. Lucie Count 1=L
2300 Virginia Avenue,Fort Pierce FL 34982 yo
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE: ELECTRICAL
PRO POS ED.IMPROVE MENT LOCATION 9675 Rangeline Road I (Bu ltling#1)
Address: 9675 Rangeline Road
Property Tax ID#: 4201-113-0001-020/9 Lot No.
Site Plan Name: Block No.
Project Name: Liberty Tire Building#1
-DETAILED DESCRIPTION'OF WORK ==
Liberty Tire Building#1, install a dedicated 120 volt circuit for fire alarm control panel.
CONSTRUCTION INFORMATION,:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
,)( Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 800.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE _ " CONTRACTOR
Name Liberty Tire Recycling LLC Name:Michael Pride
Address:1251 Waterfront Place, Suite 400 Company:Pride Electrical Services
City: Pittsburgh State: Address: 843 South Kings Highway
Zip Code: 15222 Fax: City: Fort Pierce State:FL
Phone No.772-465-0477 Zip Code: 34945 Fax: 772-461-2778
E-Mail: Phone No 772-461-2777
Fill in fee simple Title Holder on next page (if different E-Mail mike@pride-electrical.com
from the Owner listed above) State or County License EC1300-5859 SLC 29875
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
`
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: xNot Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 Counter 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 JO ITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO AIN FINANCING, CONSULT
WITH Y UR LENDER ,RAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF MM CEMENT."
Sig re of Owner essee/Contractor as Agent for Owner Sign u e of contra ctor/L ense Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF {�1 LlLlc-e,J COUNTY OF_ �
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this�day of�,t� ,20,0 by this1-1 day of 20z6by
Liz �ziEny Ph;-JF.
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
(Signature of Nota r PublatX 0&dorida) (Signature of Notary Public-State of Florida)
�, NOTARY PUBLIC DeAnn A.Prue
Commission FFLORWW1) Commission No. AAVM1 NOTARYPUBL$gal)
o '`� Comm#GG926969 STATE OF FLORIDA
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 90MIJA-1/20 -'*VIANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev.2/7/19