HomeMy WebLinkAboutSLC Building Permit Application - Building #6 - Executed ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/17/2020 Permit Number:
Building Permit Application
Planning and Development Services
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
PROP:QSED.IM.PRQIIEM ENT t_OCATION
Address: 4451 Saint Lucie Blvd.,Fort Pierce,FL 34946
Lega I Description: 31 34 40 W 1/2 OF NE 1/4 OF NE 114-LESS N 118 FT FOR RD AND CANAL RS1W-(18.62 AC)(OR 1336-2036)
Property Tax 1D#: 1431-112-0001-000.8 Lot No.
Site Plan Name: A-1 Truss Expansion Block No.
Project Name: A-1 Truss Building#6
Setbacks Front P"r- 2s„�=2� Back: Right Side: Left Side: 777771
DETAILED DESCRIPT)ON:O 1tllOiiC, i
Utility Structure Shed used for storage.
CONSTRUCTION fNFORMATION = _
�
HVAC Gas Tank Gas Piping _Shutters Windows/Do Additionalworkto ewer orme un er this permit—check a apply:
Windows/Doors
Electric ❑ Plumbing Sprinklers FI Generator Roof 1 2 Roof pitch
Total Sq, Ft of Construction: 300o Scl. Ft.of First Floor: 3000
Cost of Construction:$ 125,000 Utilities: Sewer Septic Building Height: 21'-6'
OWNER/LE;SSEEr: CONTRAUTOR�
Name John Herring Name` Donald L.To!liver
Address:4451 Saint Lucte 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-Mail:john.herring@altruss.com Phone No. 772234.8164
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 : nvaPrara, K+miin PE ea )G Name :
Address : 4451 & W �N.n a "I Address:
City: rMP,arca State : City: State :
Zip : 39948 Phone7n4wcro3 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 Count yY makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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
before the first inspection . If you intend t0 obtain financing, consult with lender or an attorney before
commencingwork or recotdin our Notice of Commencement,
.�
Signature of Owner/ Legsee/Contractor as Age, or Owner Signature of Contras or icense Holder
f
STATE OF FLORIDA ' ;r STATE OF FLORIDA
COUNTY OF �Uc 4 COUNTY OFcroai9uu
The forgoing ins,
ns rument was acknowledged before me The forgoing instrument was acknowledged before me
this,,� k day of tO 2020 by this le day of wkvY 20 20 by
.bM Harf g nwa'a L TbN4?
Name of person making statement , ' Name of person making statement
Personally Known _ OR Produced Identification '.� t [ r Personally Known " OR Produced Identification
Type of Identification Type of Identification
r'P �d Produced
(Signature f Notary Public- St re of Notary Public- State of Florida )
PAIGE PEEL
Commission No. L � "OW) e of Florida-Notar02 �
ion No. G° a9�eas 5"e..,- Se EERIE O BROWN
;,9 2 Commission N GG `/A;�kc; Notary Public - State of Florida
My Commission E `; e,i CommissionAGG 207836
October 14, 20 DE CC MVCMM
Bonded throqSh National Notary Ass ,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17