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HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date : 11/30/20 Perm it Number: _______ _ Building Permit Application Planning and Development Services Building and Code Regulation Division Commercia 1 _x ___ _ Residential ____ _ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462 -1578 PERMIT APPLICATION FOR: AirNac Station PROPOSED IMPROVEMENT LOCATION : Address: 7310 lndrio Rd ., Fort Pierce, FL34951 Property Tax ID#: 1314-144-0000-000-0 Lot No . ___ _ Site Plan Name : ________________________ _ Block No. Project Name :..:.7_-1..:.1..:.#..:.38::.c9..:.44..:._ ___________________________ _ I DETAILE0 DESC ~IP"FI ON OFW \;)R~:. install a 31x6 ' concrete pad for airvac machine . New Electrical Meter ..:.Nc..:0 ___ Second Electrical Meter _____ _ I EO NSTB UCTIOl)I IN F-Q RMAJ ION :. < Additional work to be performed under this permit -check all that apply: _Mechanical Electric Gas Tank _Plumbing _Gas Piping _Sprinklers Total Sq . Ft of Construction : ______ _ Shutters _ Windows/Doors Pond Generator Roof ____ Pitch Sq. Ft. of First Floor: _________ _ Cost of Construction :$ _7_00_._oo _____ _ Utilities: Sewer _ Septic Building Height: ___ _ .Q)"tJf{~R/bg~~f;E: .,. ... ;_r;,j;··: ~, '. . , . CO NTR ACT©~: , . "" .. .?•' -~;.\ ' -t •· ,._\,, Name lndrio Retail Properties ,LLC Name: Robert Kennedy Address: 2129 Via Fuentes company: Wilsons Petroleum Equipment, Inc . City: Vero Beach State : -Address: 1803 South 31st SL Zip Code : 32963 Fax : City : Fort Pierce State:~ Phone No . Zip Code : 34947 Fax : 772-464-5803 -E-Mail : Phone No 772-468-3689 Fill In fee simple Title Holder on next page ( If different E-Mallrobk@wllsons-petroleum .com from the Owner listed above) State or County License 24761 If va lue of construction ls 2500 or more, a RECORDED Notice of Commencement is required . If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is requ ired . :s~r P(E,MEN;l°A'bC ONS,T~U.0:JPN ·~l~!{tAW}NFORMATI QN:, .. ' ·._; ), ._, DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: -Not Applicable Name :KimleyHom Name : Address: 189 5. Orange Ave Suite 1000 Address : City: Orlando State:_FL __ City: State: --Zip:""' Phone 401..a98-1s,, Zip : Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name : BONDING COMPANY : _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 instailat,on as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countv makes no representation that is granting a permit will authorize the pennit holder to build the ~ubject str~b~ture h which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or proh1 1t sue 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 fallure 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 attorne before commencin work or ordin our Notice of Commencement. lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTYOF __ .;;:_Lu."'----------STATE OF FLORIDA r COUNTY OF ST: L(JL.1u:;, Swqrn to (or affirmed) and subscribed before me of _-I_ Phrical Presence or __ Online Notarization wo to (or affinned) and subscribed before me of 1 Ph ical Presence or Online Notarization this .1!._ day of Occt,,,be~ 2020 by this day of () /;c,G,W 12.... , 2020 by )viqH/2ev R.o JJ f2-CJ 8 ~R::r L ~NrJfjJ Name of person makiniatement. Name of person making statement. l\l~\11111111//l Personally Known ___ OR Produced ld~~Yl'll8"r,~{r~ Personally Known_ OR Produced Identification Type ofldentification ff ff>'<) .... • •• 12..~ Type of Identification • 1 ;.;----------;;,.~ .-~~-:" Produc U2-0;J/\;ft /C-,vo<.v ,v f /1:fl "" ·: * = : ~-~: (Signature of Notary Public-State of Fl\:<j,g l\,#1lG91 / ff "•"-111-"!• A~§ Commission No._____ ··•···· ~,-~ -,,,;;;,~,,~ REVIEWS FRONT DATE RECEIVED DATE COMPLETED ev. t...;,wwww COUNTER ZONING REVIEW SUPERVISOR PLANS REVIEW REVIEW VEGETATION REVIEW SEATURnE REVIEW MANGROVE REVIEW