HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE
Date: 11 / 17 /2020
s �
e �4J FOR APPLICATION TO HE ACCEPTED
Permit Number:
99.
5 _ `:. Building Permit Application
Planning and Development Services
Building 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: Resin Tank Containment Structure
PROPQSED,IIVIPROVEME�NT LOCATION
Address: 3207 Industrial st Street, Fort Pierce, FL 34946
PropertyTax ID #: 1429-501-0053-000-4
Site Plan Name:
Project Name: Resin Tank Containment Structure
RECEIVED
Nov 18 2020
ftrmitting Aapartment
St. Lucie County
Lot No. 9&10
Block No. 4
DETAILED DESCRIPTION OF WORK;
Demo 25'x10' concrete slab, form & pour new 27'x28'-4" x12" concrete slab. Install
8" block to 3,':__"chigh to.c�t6rm resin tank containment structure. install (10) pipe
bollards.
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 _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 756 SF Sq. Ft. of First Floor:
Cost of Construction: $ $29, 800.00 Utilities: _ Sewer _ Septic
Building Height:
CONTRACTOR: ,
Name Maverick Boat Group, Inc.
Address: 3207 Industrial 29th St.
Name: R efemyrFoulks-,,- -Vice - -resident
Company: uF Cnnrreft, Cons rurti nn, Tnr _
City: Fort Pierce, Y_ State: FL
Zip Code: 34946 Fax:
Phone No. 772-465-0631
E-Mail:
Address:664 Old Dixie Hwy.
City: Vero Beach State: FL
Zip Code: 32962 Fax: 772-778-2142
Phone No 772-567-3356
E-Mail jeremy@rfcconstruction.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License GCG1504441
SLC#32009
If value of construction is 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 required.
SUPPLEMENTAL CO. NSTRUCTION'`LIEN LA.W'INFORMATION:,
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: ML Engineering
Name:
Address: 2030 37th Avenue
Address:
City: Vero Beach State: FL
City: State:
Zip: 32960 Phone 772-569-1257
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: x Not Applicable
Name: Maverick Boat Group, Inc. -
Name:
Address: 3207 Industrial 29th St.
Address:
City: Fort Pierce, FL
City:
Zip: 34946 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 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 attorney before commencing work or recording our Notice of Commencement.
Signature of O er/ Less/Contractor as Agent for Owner
SignatureX Contra c r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Indian River
COUNTY OF Indian River
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
_a Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this 16 day of November 2020 by
this 16 day of November 2020 by
Jeremy Foulks
Jeremy Foulks
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
( nature Notary
ignatu of Notary
uf��te of ��I�CjORC
:�*� e�' • NANCY CORCORAN
?' MY COMMISSION # GG 145449
Commission No.
:.: MYCOMN#GG145449
Commission No.
=m;, a`.' EXPIRES: �r4, 2021
'a= EXPIRES: November4,2021
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*L0" Bonded Thru Notary Public Underwriters
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