HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and DeveloprnentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial x
PERMIT APPLICATION FOR: AILU1 dLions
� PROPOSED IMPROVEMENT LOCATfON; Storefront
Address: 3107 Industrial 25th Street
Property Tax ID #: '1429-502-0012-000-8
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Keplace 5toretront doors
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Permit Number:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
_Gas Tank
Plumbing
Total Sq. Ft of Construction: _
Cost of Construction:
OWNER/LESSEE:
Name warren Heim Corp
Address: 3107 Industrial 25th Street
City: Ft. Pierce
Zip Code: 34946 Fax:
Phone No. 772-466-8265
E-Mail: chuckheirn@warrenheimcorp.com
Gas Piping
_
_Sprinklers
_Shutters
_
Generator
Residential
Lot No. 2 -19
Block No. 6
�indows/Doors Pond
Sq. Ft. of First Floor:
— Roof Pitch
Utilities: _Sewer _Septic Building Height:
CONTRACTOR:
Name:
Ray Reinhard
722 3rd Place
Company: , _
State: _ Address:
City: Vero Beach
HBSInc
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Zip Code: 32962
Phone No 772-567-7461
E-Mail tammy@hbsglass.com
State: FL
Fax: 772-778-3514
State or County License SCC131151281
encement is required.
If value of construction is 2500 or more, a RECORDED Notice of Comm
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER;
Name:_
Address:
City: —
Zip:
Phon
FEE SIMPLE TITLE HOLDER:
Name: _
Address:
City:
Zip: Phone:
Not Applica
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Phone:
BONDING COMPANY:
Name:_
Address:
City;_
Phon
Not Applicable
State:
Not Applicable
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 yoAin to obtain financing, consult
with lender or an attorney before commencingwork or recording yourCommencement.
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gnature of Owner/ lessee/Contractor as Agent for Owner
STATE OF FLORIDA
C O U NTY O F i,d�a� Rr�er
Swo- to (or affirmed) and subscribed before me of
Physical Prese ce or Online Notarization
this jlo_ day of 2020 by
Name of person making statement.
Personally Known _V' OR Produced Identification
Type of Identification
Signature of Contracted/License Holder
STATE OF FLORIDA
C O U N'rY O F rndian RryP�
S ern (or affirmed) and subscribed before me of
P/�hysical Presen or Online Notarization
this:a day of _ 2020 by
Name of person making statement.
Personally Known /OR Produced Identification
Type of Id ntification
Produced
(Signature of Notar-y� li�li�- t f Florida (Signature o o '
. � Notary I�ir, State of Florida r N ry Public Sta of Florida
Commission No. ° o Tamm E�rglish Com ri o Tammy C English ( al)
-- y My Commission GG 906987 My Commissiont`G 906987
s o' Ex ires21/23/2022 _ _ _— Expires 0112312022
REVIEWS FRONT ZONING SUPERVISOR PI_A VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
DATE --- - - - -
COMPLETED
MANGROVE
REVIEW