HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED dd ''ttQ
Date: 8/20/2020 Permit Number: d�OOO ' T� V
NAP
� Building Permit Application Au�2�1o10
Planning and Development Services perm�tt�ng o Count' pt
Building and Code Regulation Division Commercial X Residential st. Luc'e
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Concrete DumpSter Pad
PROPOSED IMPROVEMENT LOCATION:
-Address: 900 n Rock Rd, Ft pierce
Property Tax ID #: 2311-210-0000-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Rock Road Jail Dumpster Relocation
DETAILED DESCRIPTION OF WORK:
New concrete dumpster pad per county drawing.
New Electrical__ Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft.of Construction:.462 SQFT
Cost of Construction. $ 29,460.00
Sprinklers . _ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof . Pitch
Utilities: _Sewer ._Septic Building Height: 5'
OWN ER/LESSEE:
CONTRACTOR -
,Name Lucie County
Name:Chris Carter
Company: Carter's Concrete Construction Inc
Address:5610 Smith LN
City: Ft Pierce State: FL
Zip Code: 34982 Fax:
Phone No7725196087
E-Mail CCARTER146 @HOTMAIL.COM
State or County License26700
Address:2300 Virginia ave
City: Ft Pierce State: _
Zip Code: 34982 Fax:
Phone No. 772-462-1418
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7;5Q0 ar,more, a RECORDED Notice of Comumteement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: ST LUCIE COUNTY
MORTGAGE COMPANY: x Not Applicable
Name:
Add ress:23oo XnRGINIAAVE
Address:
City: Fr PIERCE State: FL
Zip:34982 Phone7724621432
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 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 1 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 attornev before commencing work or recording voupNotice of Comme0cement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature octorAlcense
Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF'.,,a�
COUNTY OF S71-
Li4tyt 1C__
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed
before me of
Physical Pre nce or Online Notarization
Physical Presen a or Online Notarization
this Li day of 2020 by
this � day of
2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Producgd
(Signatu a of'.Notary Public- Stat f Florida)
(Signature of Notary P I'
a ofol WWai4 state or Florida
Veronica Haines
" q'% LASHAH
Commission No. ' "' �� : (RAM-RAHMING
Commission No l
INy comrrtr��I G 945769
Expires 0ima
MY COM IAISSION # GG 275060
PoF EXPIRES: December20, 2022
N Notary
ublic Underwriters
REVIEWS
FRONT
ZONING
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20