HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/15/2020 Permit Number: 2(��52,q
Sir. aUCEIE
g PP Bluildin g Permit Application
W.
Planning and Development Services
Building and Code Regulation Division Commercial X. Residential _
2300 VirginiaAvenue, FortPleice FL 34982
Phone: (772) 462=1553. Fax: (772) 462-1578
Address: Virginia Ave & 38th Street
Property Tax ID #: 2420.221-000-000,�+ Lot No.
Site Plan Name: Block No.
Project Name: _Dollar General Fort Pierce -
DETAILED DESCRIPTION OF WORK:
Site improvement and construction of a. new Dollar General store
New Electrical Meter Yes Second Electrical Meterma
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_x_Mechanical Gas Tank _Gas Piping x_Shutters _Windows/Doors Pond
x_ Electric x Plumbing _ Sprinklers Generator x Roof 1/12 Pitch
Total Sq. Ft of Construction: 91 00 Sq. Ft. of First Floor:
Cost of Construction: $ 525A32-00 Utilities: x Sewer _ Septic Building Height: 18 ft.
OWNER/LESSEE: HSC Fort Pierce "
CONTRACTOR; Fulcrum Construction Group :-
Name Haymes Snedeker
Name; Ron Yaeger
Address:.PO Box 130 _ __..
Com,panyc Fulcrum Conshcuon Group
City; Daphne State: AL
Address:410 Mandl Ave
Zip Code:..36520 Fax:251-252-9898
City:. Daphne State: AL
Phone No.251-243.-0108 -
Zip. Code: 36526 _ Fex:'rqa
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
If value of construction.is Z500.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 CONSTRUCT -ION LIEN LAW INFORMATION.
' DESIGNER /ENGINEERf__ -- Not Applicable
MORTGAGE COMPANY.XX Not Applicable
Name: Adams SW.wsrtArdAeW.LLC.
Add ress:r_22615.H19hWay'-59North
Address: -
City: Re6abigia Stat6i x
city:,- -State:
Zip:,one-251 4
Zip: Phone:
FEE SIMPLE TITLE HOLDER: NcitApplicable ----BONDING
COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City
City:
Zip: Phone:.
Zip: Phone'%.
OWNER/ CONTRACTOR AFFID t VIT: Appticationis hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or Installation hat 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 It in conflict wIth:any applicable Horne Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Horne Owners. Association and review your deed for any restrictions which may apply.
In consideration of the granting of this re uested.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 WcIe 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 I OWNER: Your failure toRecord a Notice of Commencement may result In paying twice for
improve h-4mts to yout property. A Notice of Cortim6hcemient must be recorded in the public records of St.
0 fit A on the jobsite before the first insp ctloh. If you intend to obtain financing, Lucie C .� I y and poste inspection. consult
withlen eroran6ttorri6ib6fore-to'mrhencin''L--wbrkdrrecording: VoutNdfic'eof,Comibentemerit.. .- -
Sign'qiir4 of Owner/ Leiie—q/ton-f—ractior4s Agentfor Owner
pre ofContra_r/Lcente Holder
4.
STATE OF IN ARM IA
COUNTY Oi_772xLA&u_x_r-1
STATE OF
COUNTY F
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
)0 Physical Presence or Online Notarization
0 Physical Presence or . online Notarization
this day of 2620 by
this-_LS day of M_ n. 2020 by
CB
Name of per on makii
Niriie of person raNni;iAment:- -
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Ppoduced A
"
Pro uced_
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N(Signat re 6 Ot"j-Public- State ofti
-TSta -'-of Florid gnature 6f Wo&rf l5blik te 0
Commission N (Sebl) �-j
Commission No.
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DATE
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DATE
COMPLETED
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