HomeMy WebLinkAboutApplication, original, no contractor assignedAll APPLICABLE INFO MUST 8ECOMPLETED RDRAPPUC4J|O0TOQEACCEPTED
Date:
Permit Number:
4P HP ����^U��~K��' �\������ ��n��K^���^���� Building Permit "~"�R�o-"" ~"
Planning and Development Services
Building and Code Regulation Division [ODl0Oe[cial X Residential
2300Virginia Avenue, Fort Pierce 834982
Phone: (772)462-155] Fax: (772)46J'1S7O
PERMIT APPLICATION FOR:Water and Sewer connection with pump station
Address: 6315 US Hwy 1, Ft. Pierce FL
Property Tax 0#: 1408-412-0002'008-8
Site Plan Name: Giant Oil #202
Project Name: Giant Oil #2O2
New Water and Sewer connection with pump station, including demo of septic tank and
drainfieW&reconfigure well from primary water supply to irrigation only.
New Electrical Meter Second Electrical Meter
Lot No.
Block No.
Additional work to be performed under this permit—checkaUthatapply:
—Mechanical __ Gas Tank —Gas Piping Shutters Windows/Doors Pond
__Electric __Plumbing __Sprinklers __Generator Roof P�ch
Total Sq. FtofConstrurdon:__
Cos of Construction: 30.000
Name Giant Oil Inc
Address: 18O6NFranklin St
City: Tampn, State: FL
Zip Code: 33602
Phone No.
Fill infee simple Title Holder onnext page (ifdifferent
from the Owner listed above)
�
N/A
Sq. PLofHotF�or
Fv(]Sewer F]Septic Building Height: I Story
Name: Out to Bid
Company: Out toBid
Address:
—
City: State:___
Zip Code: Fax:
Phone No
E-Mailpermifting@IB3mupnet
State or County License
Ifvalue ofconstruction is 2500ormore, aRECORDED Notice ofCommencement brequired.
If value of HAVC is $7,5nUormore, aRECORDED Notice ofCommencement isrequired.
$UPPL 'NTA COI STRtJ TIOP L1E;N LA1ll! 1NFORi
IATit
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: Infinity Engineering Group, LLC.
Name:
Address: 1606 N Franklin St
Address:
City: Tampa, State: FL
City: State:
Zip: 33602 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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 lender or an attorney before commencing work or recording our Notice of Commencement.
Out to bid - Contractor will pick up once assigned
Signature of owner/ Lessee/ContractoasrAgent for Owner Signature of Contractor/License Holder
Authorized Agent
STATE OF FLORSTATE OF FLORIDA
COUNTY OF COUNTY OF
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization Physical Presence or Online Notarization
this day of 2020 by this day of 2020 by
C C t C, � C.tLas
Nar�4 a of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Prod ed Produced
W16_ftCL
(Signature of Nota r Pijhlir-,A r (Signature of Notary Public- State of Florida )
R"A
Commission No. Y.COMMI9$ Commission No. (Seal)
EDE1
IRES:
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20