HomeMy WebLinkAboutFT Pierce Dumpster permit (2) All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/7/2020 Permit Number:
S-Y, W CLL
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 wrginia Avenue,Fort Pierce FL 34982
Phone:1772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Dumpster Permit _
PROPOSED IMPROVEMENT LOCATION:
Address: 3751 Virgina Avenue,Ft Pierce,34949
Property Tax ID#: 2420-221-0002-000-2 Lot No.
Site Plan Name: MNSP 2202025686 Block No.
Project Name: Dollar General Fort Pierce
DETAILED DESCRIPTION OF WORK:
For the use of a 12'-O"xl 8'-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 —Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: _ Sq.Ft.of First Floor:
Cost of Construction:$ 13,000.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name HSC Fort Pierce,LLC 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: n/a
E-Mail: Phone No
Fill in fee simple Title Holder on next page(If different E-Mail
from the Owner listed above) a State or County License CGC1521447
If value of construction is 25M 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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Adams StemitArchhects Name:
Address:22615 Highmy W Narth Address:
City: RobeRadde State: AL City: _ State:
Zip: 36567 Phone 261-947-3664 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: 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 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 lencler or an attorne efore commencin., work or recording your-Notice of Commencement.
Signa4 ure o-Owner/Lessee/Contractor as Agent for Owner Si - ure of ntrarrt r/License Holder
STATE OF Fie A STATE OF, [� A
COUNTY OF i�,_� Vv i COUNTY OF�i QO
�n to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Pres nce or Online Notarization
this day of asrt, � 2020 by this f day of 2020 by
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Name of pe sl on making statement. Name of person Ma Ting s A(�� W*
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Personally Known OR Produced Idpnt?ftht16n',7 Personally Known ,$Ic An
Type of Identification :` 5EY M,q '., Type of Identification
Produced C',.•'' �• ��� Produced = Ocy �
Si na ure of Notary Public-Sta 1, • �� r ••
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED