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HomeMy WebLinkAboutBuilding Permit Application4 i _S 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� ;' _ '?y'•.Q�: 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 nev. D/olzu