HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/17/2020
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:ISLAND ATM
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial X Residential
Address: 5100 TURNPIKE FEEDER RD FORT PIERCE
Property Tax ID q: 1301-615-0064-000-1
Site Plan Name: PNC BANK -TURNPIKE FEEDER
Project Name: PNC BANK- TURNPIKE FEEDER
DETAILED DESCRIPTION OF WORK:
INSTALL [SAND ATM
2 rn
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical
VElectric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 22.100
Gas Piping
Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: _ Sewer _ Septic
Lot No.
Block No.
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name HARBOR FEDERAL SAVINGS AND LOAN
Name:TERRAN FREEMAN
Address: 130 S JEFFERESON STSUITEE 300
Company -CM FREEMAN
City: CHICAGO State:.
Zip Code: 60661 Fax:N.A
Phone No. N.A
Address: 471 LAKE BENNETT CT
City: LONGWOOD State:FL
Zip Code: 32750 Fax: NIA
Phone N0407-339-6660
E -Mail: N/A
Fill in fee simple Title Holder on next page (ff different
from the Owner listed above)
E-MailTERRYF@CMFREEMAN.COM
State or County License CBC1 261647
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name' CHESTER SCOTT
MORTGAGE COMPANY: _ Not Applicable
Name:NA
Address:411133RaSTEAST
Address:
City: BRA"EWON State: .�
Zip: 34212 Phone941�6139
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name' N/A
BONDING COMPANY: _Not Applicable
Name' NA
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 County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with an applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult wyith 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 1 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
uWARNING TO OWNER: YOUR FAILURE TO RECORD A NOTN.E OF COMMENCEMENT MAY RESULT N YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SFTE BEFORE THE FIRST INSPECTION. R' YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR,AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFVai MENCEMFNT."
SigiratureofOw /L ee/Contractor as Agent for Owner
Signature oftG'� tractoAicenseHolder
STAT FLORID//A
STATE OF FL6RIDA
COUNTY OF "be V \rr\2
COUNTY OFA� 1,
The forgoing instrument was acknowledged before me
The f oing instrum nt was acknowled d before me
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Name of persorrinaking statement.
Name of person making statement.
Personally Known K OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(S glatEffe fif N)tary Public- Stat of Florida)
(Signature of No to afFlorildal`
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Commission No. `': Notary Public(SWltof Florio
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