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HomeMy WebLinkAboutMenu Boad permit app 6-5-2020[2]All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: Buildln Permit Number: 1902-0085 Building Permit Application Address: 4946 S 25th Street, Ft. Pierce, FL 34936 Commercial X Residential Property Tax ID #: 3404-233-0002-000/9 Lot No. 2 Site Plan Name: Popeye's Site Plan Block No. Project Name: Popeye's Louisiana Kitchen Menu board and order speaker box. 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: Cost of Construction: $ 5,000 Name VRE Fort Pierce, LLC c/o Jason Keen Address: 1211 S White Chapel Blvd City: Southlake State: Zip Code: 76092 Fax: Phone No. 504-684-1222 E-Mail: rclaiborne@verdad.com Sq. Ft. of First Floor: 2265 Utilities: —Sewer —Septic Building Height: 19-8 Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: John Ross Company: ROSSCO Construction Services, Inc Address: 170 E. Boca Raton Road- Suite 2 City: Boca Raton State.. FL Zip Code: 33432 Fax: Phone No 561-395-6905 E-Mail JRoss@rosscogc.com State or County License .r If VdIUC vi cvrwauciwn Is a47uu or more, a KtwKutu Notice of commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. su�p��M�n�Ta� carvsTr�uc-r�oN �.i�nr u�uu �N�aRn���ra©tv DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY. Not A Npplicable ame: LlsArorntecture Name: Address: 2572 West State Road 426, Suite 2064 Address: City: Oviedo State: FL City: State: Zip: 32765 Phone 321-244-0402 Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: 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. is inoconflict with anrepresentation applicab e'Ho e OwnerstAssociatl n rwill es,abylaws or andpcovenantsthat o prohibit ma'y restrisubject t 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 TOO ER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FORP OYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCE T UST BE RECORDED AND POST ON THE OB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEN O OBTAIN FINANCING, CONSULT WI YOU LEND AN ATTORNEY BEFORE RECORDING YOUR NOTICE COMM CEMENT." Signature f ner/ Le see/Contractor as Agent for Owner Signature of Contractor i rise Holder STATE OF F+GRtDAT.gXaS STATE OF FLORI COUNTYOF A ! COUNTY OF The f ing instrument was acknowledged before me this day of y 20 b The f r oing instrum t was acknowledged before me this day Utlr✓ of 2Q:�?Q by aol� Ross Name of person making statement. Name of person making statement. Personally Known OR Produced Identifieyt0ni i i i I Personally Known ✓ OR Produced Identification Type of Identification \\\,, '.Y 8 Produced Type of Identification `� •.�'P tS roduced (Signature of otary Public- State of Florida • r % aF s r try r,��': +• Sa (9gnature of Notary Public- tate f r Christine Pr' My commis sio of 9: Commission No. ��.(S ac��i �2��g' �'Commission No.YExpires �tn7�2 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. Florida 12446