HomeMy WebLinkAboutBuilding Permit Applications—
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AII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACEEPTED r�
Date: �'p'�S�cJ �i�Q 00C Permit Number:
C� RECEIVED
Building Permit Application MAY 01 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT TYPE: Commercial
PROPOSED INPROVEMENT LOCATION':'
Address: 202 East Midway Road, Fort Pierce, Florida 34982
Property Tax ID #: 3402-605-0135-000-5 Lot No.21 and 22
Site Plan Name: United Pentecostal Fire Ministries Trinity International Block No. 38
Project Name: United Pentecostal Fire Ministries Trinity International
DETAILED DESCRIPTION OF.WORK:
A NEW CBS BUILDING
I:CONSTR'UCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 4652 Q� Sq. Ft. of First Floor:
Cost of Construction: $ CJb3i �3� Utilities: —Sewer _ Septic
Windows/Doors
Roof Pitch
Building Height: 12
OWNERAESSEE: United PentecostalFire
CONTRACTOR: HOB
Name United Pentecostal Fire Ministries Trinity Int'I
Name:
Address:6427 NW Taper Court
Company: PIKE GENERAL CONSTRUCTION INC
City: Port St. Lucie State: _
Address:4131 S. US Highway 1 Bldg. 2 Ste 3
Zip Code: 34983 Fax:
City: Fort Pierce State: FL
Phone No.954-261-8765
Zip Code: 34982 Fax:
E-Mail: upfmtrinity@gmail.com
Phone No772-742-8906
Fill in fee simple Title Holder on next page (if different
E-Mail Pikegcconstruction@gmail.com
from the Owner listed above)
State or County License CGC1527409
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is,/required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: ✓ Not Applicable
Name: Harold Steve Clark (AR0011463)
Name: NONE
Address: NONE
Address:476 Spanish Trace Drive
City: Almonte Springs State: FL
City: NONE State: NONE
Zip: 32714 Phone 772-924-5439
Zip: NONE phone: NONE
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name: United Pentecostal Fire Ministries International
Name: N/A
Address:6427 NW Taper Court
Address: N/A
City: Port St. Lucie
City: N/A
Zip: N/A Phone: N/A
Zip: 34983 Phone: 954-261-8765
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 your paying twice for
improve our property. A Notice of Commencement must be recorded and posted on the jobsite
befor a st in pection. If you intend to obtain financing, con t nderor an attorney before
corn en n wo r recording our Notice of Commencemen .
WOO
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORA
COUNTY OF Zb ., r�4 Lu" a t' c_
COUNTY OF a-%�►{ Lwc t,
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this-)-)-dayof [Q-ar-,`( , 20/1 by
this �-gday of Att-i / , 20LI by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification ✓
Type of Id ntification
Produced t'J'w i-1
Type of Id ification
Produced P-}u u
ek�v �0�;'•; GLORIA J POLIZZI
Notary Public . State of Florida
..... GLORIA J �OLIZZI
(Signature of Not Public St `'Flpyi om .Expires Sep 30, 2022
(Signature of N ary Public- a) Commission k GG 249740a
f6W
Commission No. &G a*Sea
My Comm. Expires Sep 30, 20
Commission No.
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