HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 2020 - SignedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/14/2020 PermitNumber: SLC 200-0084
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial > Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: TEMPORARY CONSTRUCTION TRAILER
PROPOSED IMPROVEMENT LOCATION:
Address: 4451 St. Lucie Blvd Ft. Pierce, FL 34946
PropertyTaxlD#: Parcel ID #1431-110-0000-000-5 Lot No._________
Site Plan Name: A-1 Truss Maintenance Building Project Block No.
Project Name: A-1 Truss Maintenance Building Project
L_DESCRIPTION OF WORK:
InsLa11.aion of a temporary trailer office onsite.
New Electrical Meter Second Electrical Meter_________________
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
Mechanical — Gas Tank — Gas Piping — Shutters — Windows/Doors Pond
X Electric — Plumbing — Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: - CONTRACTOR:
NameJohn Herring Name: Donald Tolliver
Address:4451 St. Lucie Blvd. Company:PrOCtOr Construction Company, LLC
City:Fort Pierce State: FL
Zip Code: 34960 Fax:
Phone No. 1172-398-9725
Address:2050 US 1, Suite 200
Vero Beach State: jJ ..
Zip Code: 34960 Fax: ______________
PhoneNo 772 -234 -8164 E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail sbeynon@proctorcc. corn
State or County LicenseLLC - CGC1 522209
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:________________________________________
Address: Address:
City: State: City: ____State:
Zip: Phone 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.
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 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.
Inconsideration 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Comrn-rtcment.
_ o4Ii1Ftor as Agent for Owner Sig n trreof -eo c r/Liceyl'se Holder 0
STATE OR STATE OF FLORIDA
COUNTY OF LUC.:LU COUNTYOF Indctn Paver
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization ________ V Physical Presence or Online Notarization _____
day of ,_J__4_._ this j , 2020 by this jf day of Juty , 2020 by
Donald _L.-Tolliver
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally ytn V OR Produced Identification
Type of Identification Type of Identification
Produced Produced_____________________________
(Signature of Notao Publi c - S
Commission No.Af11_
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Pub'iC State of Floon ~a I Sara J Dion
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Ay Comm. Expires Feb 5
....... Bonded through National Note
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20