HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/16/2020 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Commercial X Residential
Phone; (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Low Voltage
PROPOSED'IMPROVEMENrLOCATION:
Address; 4946 South 25th St, Fort Pierce, FL 34981
Property Tax ID #:
Lot No.
Block No.
Site Plan Name:
Project Name: Popeyes
N
DETAILED DES'CRIPTIO, ®F WORK:
Installation of POS, Digital Menu Boards, DT Headset System and CCTV Cameras
CONSTRUCT -ION In,fORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical Gas Tank Gas Piping Shutters
# Plumbing . Sprinklers
AElectric
Total Sq. Ft of Construction: -----------------
Cost of Construction: 12,000.00
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: Sewer Septic Building Height:
OWNER/LESSEE:-
Name VRE Fort Pierce, LLC
Address: 1211 S. White Chapel Blvd
city
Zip Code. : ro" Outhlake State: TX
. 76092 Fax:
Phone No. (985) 705-3305
E-Mail: Joe@verdad-com
Fill In fee simple Title Holder on next page If different
from the Owner listed above)
CONTRACTOR4.0
Name: Brad Hafenbraedl
Company: Pelican QSR Solutions, Inc
Address: 4435 Alvin Street State: FL
City: Hastings
Zip Code: 32145 Fax:
Phone No (386) 597-1007
E-Mail Brad@pelicanqsrsolutions-COM
State or County License ES12001663
It value of construction Is $2500 or more, a RECORDED Notice of Commencement is requirea.
if value of HVAC Is $7,500 or more, a RECORDED Notice of commencement Is required.
ONSTRUCTION LIEN LAW INFORMATION:
SUPPLEMENTAL C
E IGNER/ ENGINEER: Not Applicable
Name:
Address: State:
City:
zip: Phone
FEE SIMPLE TITLE HOLDER:
M;a MP -
Address:
Not Applicable
NOT /Applivdulle
MORTGAGE COMPANY:
Name:
Address:
Cit0 State:
y.
Zip: Phone:
Not Applicable
BONDING COMPANY:
Name: —
Address:
ritv--
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 permit holder to build the ctb®rct structurepplicable Home ers Association rule�, bylaws or and covenants that may restrprohibit such
which is in conflict with any applicable Home Owners Association and review your deed for any restrictions which may apply.
structure. Please consult �vlt7h it, I do hereby agree that I will, In all respects, perform the work
In consideration of the granting of this requested perm
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 F EMENTS To YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
INSPECTION. IF YOU INTEND TO OBTAIN RNANCINGO CONSULT
N H JOB
I RECORDING Y?YR�0
T% 0
POSTED ON TH jOB SITE BEFORE THE FIRST IN UR 0 OF COMMENCEMENT.."
EY BEFORE RECORDINC
wiTMYWQUR LEN R OR AN ATTORNEY
Signat e Owner/ Lssee/Contractor as Agent for owner
STATE OF T-eMS
COUNTY OF_T������
Sig rat — of Co ' ntractor/License Holder
g_ur�
STATE OF FLORIDA
COUNTY OF—
oing inst ent was acknowledged before me The for2"ing instrurn ac owledggd before me
The forg 240 by this J'Z7day of __X_ w_ 61A 20 AoOby
this 4 day of go —
Name of person making statement.
Personally Known & OR Produced ldenoft,t
Type of identification
.•-••PU&t•°
Produced 1. ®°� /�•
--f
t ig;naAture of N—Xa—i-Public- State of Fldidao` '.•"•c =
F_01
1321ll.
Commission No. 04=1 (S& I
• CEP 1411111100
Name of person making statement.
Personally Known eYl OR Produced Identification
Type of Identification
-Produced
,ASIgnature of Notary Public- State
KENNETH R. SHAA
g V
Commission No 44tary Public - State of F1
81 Commission # GG 9315
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANUKU
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
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