HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
May 18 2020 y �"��
Date: Y , Permit Nu ber.:-.
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Planning and Development Services
Building and Code Regulation Division +�+
2300 Virginia Avenue, Fort Pierce A 34982 St, Lu ci�a
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X ResiilentialZ_11ntY,
PERM fT TYPE: Electrical
PROPOSED IMPROVEMENT.LOCATION:
Address: 9675 Range Line Road Port St Lucie, FL 34987
Property Tax ID#: 4201-113-0001-020-9 Lot No.
Site Plan Name: Block No.
Project Name: Liberty Tire Building#4
DETAILED DESCRIPTION OF WORK:
Damaged underground service wire to building.
Re-install (8)sets of 4-500 MCM to existing 2500 main to distribution to remain existing. No Upgrades.
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:t 25,000.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Liberty Tire Recycling. LLC Name:Michael Pride
Address:600 River Avenue, 3rd floor Company:Pride Electrical Services of FI Inc
City: Pittsburgh State:_ Address:843 South Kings Highway 102-B
Zip Code: 15212 Fax: City: Fort Pierce State:FL
Phone No. 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-electhcal.com
from the Owner listed above) State or County License EC1300-5859 SLC 299875
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.
SUS°6'L iVi. „NT�I:.CONSTRUCTION IIEN LAW INFORMATION ,
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DESIGNER/ENGINEER: x Not Applicable p MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City:_ State: City: State:
Zip:_ Phone Zip: Phone:
FEE SIMPLE TITLE FOLDER: je Not Applicable BONDING COMPANY: r Not 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 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,
accessary 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 JOB SIT-F,BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBT N FINANCING, CONSULT
WITH YOUR-LUJOER 00 AN)ATTORNEY BEFORE RECORDING YOUR NQ110E OF COM NC MENU
Signa 'r'of Owner/Lessee Contractor as Agent for Owner Signat4reontractor/Licens older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ;�_1;”�:�,C,CL'u__ COUNTY OF C-U
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this (___�`f day of 20 by this //2 day of - 2020 by
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Name of person making statement. Name of person makings tement.
Personally Known OR Produced Identific Personally Known OR Produced Identificati
Type of Identification Type of Identification
Pr ticed A (a p a Produced x n a o
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-9tate of Florida) oN
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Commission No.
I L% (Seal) a^' > Commission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED I
DATE
COMPLETED
ev. 2/j/19