HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/7/2020 Permit Number:
Building Permit Application
Planning and Development Services
i�'�
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 4451 Saint Lucie Blvd., Fort Pierce, FL 34946
Legal Description. 31 34 40 W 1/2 OF NE 1/4 OF NE 1/4-LESS N 118 FT FOR RD AND CANAL RS/w-(18.62 AC)(OR 1335-2036)
Property Tax ID#: 1431-112-0001-000-8 Lot No.
Site Plan Name: A-1 Truss Expansion Block No.
Project Name: A-1 Truss Building#4
Setbacks Front Pmv=3525'Min-25' Back: Pro-766.833Min-21' Right Side: Pro-431,Min-10' Left Side: Pr=203',Min=10'
DETAILED DESCRIPTION OF WORK:
Utility Structure T-Shed used for storage
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—clecl all apply:
�HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof 1 2 Roof pitch
Total Sq. Ft of Construction: 3600 S Ft.of First Floor: 3600
Cost of Construction: $ 125,000 Utilities:Sewer E]Septic Building Height: 18,
OWNER/LESSEE: CONTRACTOR:
Name John Herring Name: Donald L.Tolliver
Address:4451 Saint Lucie Blvd. Company: Proctor Construction Company,LLC
City: Fort Pierce State:FL Address: 2050 US Hwy 1,Ste 200
Zip Code: 34946 Fax: City: Vero Beach State: FL
Phone No.561.436.3454 Zip Code: 32960 Fax: 772.234.8188
E-Mall:lohn.herring@aitruss.com Phone No. 772.234.8164
Fill in fee simple Title Holder on next page(if different E-Mail: vbrown@proctorcc.com
from the Owner listed above) State or County License: CGC1522209
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Rama Pranav Kristam FL PE B889C6 Name:
Address:1d5.sl Woe 81vd Soho 201 Address:
City: FonP,A State: FI City: _ __State:
Zip: 3494G Phone -400 c 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 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 for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befo the first inspection. If you intend to obtain financing, consult with lender or an attorney before
x-mmenbing work or recording our Notice of Commencement.
Sign�uroof Owner/Lesse /C tractor as Agen o Owner Signature of Contractor/License Holder
ST F FLORIDA STATE OF FLORIDA
COUNTY OF 5,r , COUNTY OF.----
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1R day of NU GUST 20-20 by this 17,1 day of AVgu51 20 20 by
John Honing Donald L Tolliver
Name of person making statement Name of persgn making statement
Personally Known OR Produced Identification N/IA Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Pro uced N /k Produced
(Signature o otary Public-State of Notary Public-State of Florida)
1 /]f PA I G E 1^�Elv�IE1ra{j�{E}�5pf.QI ft�
{...� l \�PpY PU / CM WO�7
Commission No. _2o State of Florida b o cG20783s :'}rid•.., (SeaR4LERIE D BROWN
Commission 4F Notary Public-State of Florid
'F o My Commis on Expires
October 4, 2022 �� Commission N GG 207836
'!lo My Comm.Expires Aug 12.202
one through National o
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION A
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17