HomeMy WebLinkAboutjBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/15/2020 Permit Number:
91T.bL1CDL
0
�.f to Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 VirginiaAvenue,Fort Pierce A 34982
Phone:(772)462-1SS3 Fax:(772)462-IS78
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: Virginia Ave 8 38th Street
Property Tax ID#: 2420-221-000 -000, Lot No.
Site Plan Name: Block No.
Project Name: Dollar General Fort Pierce II
[DETAILED DESCRIPTION OF WORK:
Site improvement and construction of a new Dollar General store
New Electrical Meter Yes Second Electrical Metern/a
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
—x—Mechanical Gas Tank —Gas Piping x_Shutters —x—Windows/Doors Pond
_x Electric x Plumbing _Sprinklers Generator x Roof 1/12 Pitch
Total Sq.Ft of Construction: 91 00 Sq.Ft.of First Floor: i
s25,237-00 18 ft
Cost of Construction:$ Utilities: x Sewer _Septic Building Height:
OWNER/LESSEE:HSC Fort Pierce CONTRACTOR:Fulcrum Construcffon Group
Name Haymes Snedeker-, . _ Name:Ron Yaeger
Address:PO Box 130 Company-Fulcrum Constriction Group
City: Daphne State:AL Address:810 Manci Ave
Zip Code:_36526 I Fax:251-252-9898 City: Daphne State:AL
Phone No.251-243-0708 Zip Code: 36526 Fax: n/a
E-Mail: ! Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License CGC1521447
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.
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SUPPLEMENTAL CO.NSTRUCTION'LIEN LAW INFORMATION:
DESIGNER/ENGINEER:- - Not Applicable MORTGAGE COMPANY: XX Not Applicable
Name:Adams Stewat/4rcHtects,LLC Name:
Address: -22615-Highway59 North Address:
City:.-Robetsdate.-- -- - State: Al. City: _ State:
Zip:-3-6W-- Phone,--- aaesi 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.Lucie Count 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 reviewyour 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.
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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
improverrjknts to your property.A Notice of Commencement must be recorded in the public records of St.
Lucie Co hhty and posted on the jobsite before the first inspection.If you intend to obtain financing,consult
with len er or an attorney" before_commencin work or recordin-: our RoAce of Commencement.
Signii ure of Owner/Lessee/Contractor as Agent for Owner S• , re of Contra or/Llcense Holder — -
STATE OFft9Rl@�A STATE OF
COUNTY OF �i � COUNTY OF 0Qi._kCku 7)inn
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization 0 Physical Presence or Online Notarization
this day of-. ,�L&00. 2020 by this t�; day of It t-ne .2020 by
cJ. /.�� %":'Aa u __Lc6ar
Name of per on making statement Name of person maid ' ement.
Personally Known 1_/ OR Produced Identification Personally Known 1_OR Produced Identification
Type of identification Type of Identification
P., cuced - /� - '�,ge��! �ta,.,�9�� Pro uced tt�iJ,`
I moo° �U••.•....•• t . J� C,
ature 600rVPublic-State of
Signature of o blic-State-of Florld = [[##
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Commission No r,
:Commission No.. �1 1� 2`1�� (�e� ' r ,
REVIEWS FRONT ZONING `'r3� ( I �®R PLANS VEGETATION SEA TURTLE �196A�1�GItO�I�t►�
COUNTER REVIEW EV W REVIEW REVIEW REVIEW RE1�M'
DATE
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DATE
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