Loading...
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 1 �G!/1' 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 • ���� PM. GO%�i,���i a �..••� lSSION••• �—� ••• (Signature of Notary Public- State oL�*lorjd J� !�,o;•, (Signature of Notary Public- St". 31�p6r�5�i Commission No. (Seal)• • : * MGG Commission No. (Seal) y • 944608 • y �� • m 6 ., • Q MGG 944606 REVIEWS FRONT i�i'P� •• ZONIE4f�9�••�' o4rY 5°�.••• OQ ��� PLANS VEGETATION i O� ••; a Bonded S1 9 i l`V.Et OVE � . COUNTER REVIEVII��//pal tE` REVIEW REVIEW JC' SIP E ,�1EW DATE 111111 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 pyGG 35564323