HomeMy WebLinkAboutFT Pierce Dumpster permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/7/2020 Permit Number:
SY, LL! c LL
Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercial X Residential
2.300 Virginia Avenue, Fort Pierce FL 34982
Phone: 1772)462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Dumpster Permit
L PROPOSED IMPROVEMENT LOCATION:
Address: 3751 Virgina Avenue, Ft Pierce, 34949
Property Tax ID #: 2420-221-0002-000-2
Site Plan Name: MNSP 2202025686
Project Name: Dollar General Fort Pierce
FETAILED DESCRIPTION OF WORK:
For the use of a 12'-0"x18'-0" dumpster.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 13,000.00 Utilities: —Sewer _Septic
OWNER/LESSEE: CONTRACTOR:
Name HSC Fort Pierce, LLC Name: -Ron Yaeger
Address: P O Box 130 Company: Fulcrum Construction Group
City Daphne State: AL Address: 810 Manci Ave
Zip Code: 36526 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
Building Height:
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:
DESIGN ER/ ENGINEER: _ Not Applicable MORTGAGE COMPANY:
Name: Adams SiewartArchilecis Name:
Address: 22615 Highway 50 North — — -
City: Robertsdale
Zip: 36567
FEE SIMPLE TITLE
Name:
Address:
State: AL
Phone 261 -sal -3664
HOLDER: _ Not Applicable
City:
Zip: Phone: --
_ Not Applicable
Address:
City: State:
Zip: _ Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 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 len r or an attornejcbefore commencing work or recording your Notice of Commencement.
Signa. ure o' Owner/ Lessee /Contractor as Agent for Owner sigpeulre ofntra r/License Holder
STATE OF Me A STATE OF"A IC�Qaa
COUNTY OF is__iz� w V--; _ COUNTY OFMQp
o n to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this qday of %asrt sC 2020 by
Name of person making statement.
Personally Known OR Produced Idpnt?fthtl6n
Type of IdentificationSF-Y Mq,�''
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(Signa ure of Notary Public- State : W
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Sworn to (or affirmed) and subscribed before me of
Physical Pres nce or Online Notarization
this � day of 2020 by
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Name of person ma inTc g s �'•WINA Pz V,�;;,
Personally Known Mso icati
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE j
RECEIVED
DATE
COMPLETED