HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d0 03 • lJ + 3
Date: 3/9/2020 Permit Number
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
Building Permit Application MAR 19 Z020
ST. Lucie County, Permitting
Commercial X Residential
PERMITTVPE:Building - Dumpster Enclosure
PROL'OSE.D IMPROVEMENT LOCATION i
Address: 4946 S 25th Street, Ft. Pierce, FL 34936
Property Tax ID #: 3404-233-0002-000/9
Site Plan Name: Popeye's Site Plan
Project Name: Popeye's Louisiana Kitchen
Enclosure for new restaurant
Additional work to be performed under this permit — check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _Sprinklers _ Generator
Total Sq. Ft of Construction: 185 SF Sq. Ft. of First Floor:
Cost of Construction: $ 10,000 Utilities: —Sewer _Septic
Lot No. 2
Block No.
Windows/Doors
Roof Pitch
Building Height: 66=6"
OwYEt2/LESSEE ` ,°
,co�(:ACTaRo
Name VRE Fort Pierce, LLC c/o Jason Keen
Name: John Ross
Address:1211 S White Chapel Blvd
Company: ROSSCO Construction Services, Inc
City: Southlake State: _
Zip Code: 76092 Fax:
Phone No. 504-684-1222
Address: 170 E. Boca Raton Road- Suite 2
City: Boca Raton State: FL
Zip Code: 33432 Fax:
Phone No 561-395-6905
E-Mail:-rclaibome@verdad.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail JRoss@rosscogc.com
State or County License
IT value or construction is SZ5oo 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
MORTGAGE COMPANY: _ Not Applicable
Name: LIS Architecture
Name:'
Address: 2572 West State Road 426, Suite 2064
Address:
City: Oviedo State: Ft
City: State:
Zip: 32765 Phone 321-244-0402
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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. 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.
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 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE F MPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
P ON IVE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO RBTAIN FINANCING, CONSULT
WITH Y UR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C NCFMFNT_"
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Signatu a of wner/ essee/Contractor as Agent for Owner
Signature of Contractor/ icense H
Ider
STAT F4 T{JjA$
STATE OF FLORIDA
COUNTY OF 11�Y� ��—
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The forgoing instrument was acknowledged before me
The ing instru ent was ackn
ledged before me
this day of M hLTF
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this day of
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21 & by
Name of person making statement.
Name of person making s atement.
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Personally Known � OR Producechl ...11a8i.�,t0�i
Type of Identification 4iy;�pStY PUB
Personally Known OR Produced Identification
Type of Identification
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(Signature of Notary Pu li
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA
TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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