HomeMy WebLinkAboutBuilding Permit Application4
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date�M , Permit Nui
�` L-1 • : X �_- = Building Permit Applii
Planning and Development Services
Building and Code Regulation Division Commercial X
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FORTence Permit
PROPOSED,IMPROVEMENT LOCATION -
Address: 3751 Virgina Avenue Fort Pierce, FL 34949
Property Tax ID #:42 '22t-W924Mr-T C90 Q No.
Site Plan Name: MNSP 2202025686 Block No.
Project Name: Dollar General Fort Pierce
DETAILED DESCRIPTION OF WORK:
For the use of a wooden fence surroundin4 a 12'-0"x18'-0" dumnster.
New Ell:ctrtcal 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 _ Sprinklers
Total Sq. Ft of Construction: 230
Cost of Construction: $ 3,700.00
—Generator
_Windows/Doors _ Pond
Sq. Ft. of First Floor:
_ Roof Pitch
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Hayrnes Snedeker
Name: Ron Yaeger
Address: P O Box 130
Company: Fulcrum Construction Group
City: Daphne State. AL
Address:810 Manci Ave
Zip Code: 36526 Fax: 251 252-9898
City: Daphne State: AL
Phone No. 251-243-0708
Zip Code: 36526 Fax:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail
State or County License CGC1521447
from the Owner listed above)
ff value of construction is 2500 or more, a RECORDED Notice of Commencementis required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.:
DtS1Gn1tK/1t1VbINttK: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone ; Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 Co49ty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an atwrrtey before commencing work or recording vour Notice of Commencement.
signat4re o Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor tense Holder
STATE OF FAA Q�te.� rYv�,
STATE OF FEARfBA NabOl r'` 0
COUNTY OF ¢.1d �, �.-,
COUNTY OFnq/'� 0.0
Sworn to (or affirmed) and subscribed before me of
S om to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this � day of Auo_ by�
Physical Presence or Online Notarization
this Iri day of .2020 by
��20��20��
Name of pers n making statement.
Name of person rn ' P /!p
u��/9
Personal) Known OR Produced Identification
y
y ��` .••�•�S r;
Personal) Known�� >S nti lion
C
Type of Identification '•��,,•��,
Type of ldentifica�bn ; � � J'r, •• $
,,•��.���
Produced_ �,�,,5� Mq
Produced � •'� 00
r
• 0Tq a'•�
r
(Signature of Notary Public- Stab_ td& Pf
(Signature of Notaryy P
-Conllmr 40"-fs . t W (fb�l� ;' _
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F ni�4ssien-aio p •..L�$P \ al)
�IHlI1!lillt�t�`
REVIEWS FRONT ZONou'p 'VISOR
PLANS VEGETATION SEA TURTLE MANGROVE
I
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
J_
RECEIVED
DATE
COMPLETED
Rev.5T6/20
rI
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/7/2020
Permit Number.
E `t: LL:cIL
�''-Y Building Permit Application
Planning and Development Services
Budding 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:Dumpster Permit
PROPOSED lM'_ MOVEMENT LOCATION':
Address: 3751 Virgina Avenue, Ft Pierce, 34949
Property Tax ID#: - �y_ �� _00C )'0a0'�LotNo.
Site Plan Name: MNSP 2202025686 Block No.
Project Name: Dollar General Fort Pierce
DETAILED DESCRIPTION OF WORK:
For the use of a 12'-0"x18'-0" dumpster.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 13,000.00
Gas Piping
Sprinklers
_ Shutters _ Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE: w
CONTRACTOR:
Name HSC Fort Pierce, LLG
Address: P C Box 130
Name: Ron Yaeger
Company: Fulcrum Construction Group
Address: 810 Manci Ave
City: Daphne State: AL
Zip Code: 36526 Fax: 251-252-9898
Phone No. 251-243-0708
E-Mail:
City: Daphne State: AL
Zip Code: 36526 Fax: n/a
Phone No
Fill in fee simple TRIe Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License CGC1521447
If value of construction Is 25W 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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: Adams Sta"dArcWtecls
Address: 22815 Hrow-r so men
City: Roberuuale -State: AL
Zip: 36567 Phone 261-sal-ae6a
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY:
Name:
Address:
_ Not Applicable
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
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 certifythat no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count 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 attornev before commencine work or recordine vour Notice of Commencement.
Signature oPOwner/ Lessee/Contractor as Agent for Owner
Sigpolrure of C ntra t r/Li ense Holder
STATE OF F+ePADA Pe�r� -�
STATE OF A lG'3+,�
COUNTY OF R,� !�i tn, i�
COUNTY OF rnc�?n
o n to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of %ku!! ::ds'� , 2020 by
Physical e or Online Notarization
i this V day of - J-j(,tE ? � 2020 by
is --^ i• S �, V..O Gov' `- 57
oc ' tilt�Lea, ttN111N11
Name of person ma ing s t A P(/ �ih,*
Name of pe?son making statement.
Personally Known OR Produced Idpet?fltatIdn�_
Personally Known _ � 1 iicat�
Type of Identification �: GPSF-Y 41 `•,�
Produced
Type of Identification
Produced
}-
n .a-
(Signature of Notary PCja�i(P \\
{Signa ure of Notary Public- State off f.ff + ; Iu _
6omFnr ion P:o. G 31 j V B L I c . ���
i
crontittissiarrNo. , D OF AL'
''o, `STATE
tll►lulttt
REVIEWS
FRONT
ZONING
SUPERVISOR 1
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW I
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
I
COMPLETED
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