HomeMy WebLinkAboutbutterfields hardware permit application_000074All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
P Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: BUtterfleldS Hardware LLC
PROPOSED IMPROVEMENT LOCATION:
Address: 5009 Turnpike Feeder Rd
Property Tax ID #. 1301-615-0212-000-4
Site Plan Name: Butterfield Hardware LLC
Project Name: Change of Use
DETAILED DESCRIPTION OF WORK:
Remodel bathroom to comply with FBC Accessibility
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 1-5
Block No. 179
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: $ Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Butterfield Hardward LLC/Mike Harmody
Name: Dwayne Phillips
Address: 5009 Turnpike Feeder Rd
Company: DJP General Contracting Services Inc
City: Ft. Pierce State: C -L,
Zip Code: 34951 Fax:772-302-3354
Phone No. 772-971-7454
Address:31 Emerald Ave
City: Ft Pierce State: FL
Zip Code: 34945 Fax:
Phone No772-216-4978
_
E-Mail:mike@butterfieldhardware.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail pooterphillips@aol.com
State or County License CGC1514595
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
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 lender or an attorney before commencing work or recording our Notice of Commencement.
Kev. 5/ b/ LU
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Signature of O er/ Lessee/Contractor as Agent for Owner
S."') YeA'--�
Sig ur Contractor/ ' se Holder
STATE OF FLO�IJDA
STATE OF FLO IDA
COUNTY OF
COUNTY OF r�
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Rhysical Presence or Online Notarization
/--Physical Presence or Online Notarization
this 2- day of 2020 by
this Z day of 2020 by
L- /-�G r"1 C+ [ 7C (✓� coil ``
t7( -If rl C_ ty
Name of person making statement.
Name of person making statement.
Personally Known T—OR Produced Identification
Personally Known >e—_ OR Produced Identification
Type of Identification
Type of Identification
Produced 111111111111//
Produced
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a �..••� lSSION•••
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(Signature of Notary Public- State oL�*lorjd J� !�,o;•,
(Signature of Notary Public- St". 31�p6r�5�i
Commission No. (Seal)• • : *
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Commission No. (Seal)
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REVIEWS
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DATE
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RECEIVED
DATE
COMPLETED
Kev. 5/ b/ LU
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
2 Building & Code Compliance Division
Oceana Electric Co/Frank Andrade
(Company Name/Individual Name)
the Electrical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for DJP General Contracting Services Inc
(Primary Contractor)
For the project located at 5009 Turnpike Feeder Rd/1301-615-0212-000-4
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Chknge of Sub -contractor notice.
Dwayne Phillips
PRINT NAME
CGC1514595
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 2 day of
September 20_ by Dwayne Phillips
who is personally known has produced a
as identification.
Signature of Notary Public
Eleona Gorneault
Print Name of Notary Public
Revised 11/16/2016
-CONTRACTOR G TURE (Qualifier)
Frank Andrade
PRINT NAME.
EC0001399
COUNTY CERTIFICATION NUMBER
State of Florida, County of Sr. Lucie
The foregoing instrument was signed before me this 2 day of
September 20_ by Frank Andrade
who is personally known —4or has produced a
as identification.
STAMP l
X#X�PtA GORV, Wkz//
� �Jr
Bonded %
-.*,Notary`:•' Fqv 2S
OF ��
STAMP
Signature of Notary Public
Eleona Gorneault ����\\����NA Go Z*
Print Name of Notary Public G ti
IC 11111 O
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
iCOUNTY
r R I r
BUII,pWG PERi4119'
SUB -CONTRACTOR AGREEMENT
Lindquist Plumbing & supply Co Inc./Wade Case
have agreed to be
(Company Name/Individual Name)
the Plumber Sub -contractor for DJP General Contracting Services Inc
("type of Trade)
(Primary Contractor)
For the project located at 5009 Turnpike Feedeer Rd/1301-615-0212-000-4
(Project Street Address or Property Tax tD is►
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County wil I be advised pursuant to the
tiling of a C�gc of Sub -contractor notice.
Dwayne
PRINT NA%l
CGC1514595
COUNTY CERTIFICATION NUMBER
State of Florida, ('aunty of St Lucie
The foregoing Instrument was signed before the this 2 day of
September zd_, by Dwayne Phillips
who is personally known _or has produced a
as identification.
. STAMP
Signature of Notary Public
Eleona Gorneault
Print Name of Notary Publi
Revised 1 P1612016
�`�O M GOR,�;'�iii���
`��� ** xSsI0)V4 G�
so
,e otary
'C, STAB �\\
SUB -CONTRACTOR SIGNATURE (Qualifier)
Wade Case
PRINT NAME
CFC 1428458
COUYI V CERTIFICATION NUMBER
State of Florida. County of J`J L(/C fe
The foregoing instrument was signed before me this 3 day of
ScP>- zu Lo by wept �taC
who is personally known ✓ has produced is
as Identification.
'illi, i STAMP
Signature of Notary Public
��ie/�/ LOyL` Jpy
Print Name or Nomrc Public
VV % =Man
te of Florida16
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