HomeMy WebLinkAbout1 - Building Permit Application - concreteAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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O
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4624578
Commercial X
PERMIT APPLICATION FOR: Concrete
PROPOSED IMPROVEMENT LOCATION:
Residential
Address: 9675 Range Line Road, Port St. Lucie, FL 34987
Property Tax ID #: 4201-113-0001-020-9 and 4201-113-0001-010-6 Lot No.
Site Plan Name: Liberty Tire Recycling Block No.
Project Name: Liberty Tire Recycling
DETAILED DESCRIPTION OF WORK:
Pouring foundation for proposed bag house.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
_Electric
_Gas Tank
_Plumbing
Total Sq. Ft of Construction: NIA
Cost of Construction: $ 26,692.00
_Gas Piping
Sprinklers
_Shutters
_Generator
Windows/Doors
Sq. Ft. of First Floor: NIA
Roof
_ Pond
Pitch
Utilities: _Sewer _Septic Building Height: NIA
OWNER/LESSEE: CONTRACTOR:
Name Liberty Tire Recycling, LLC Name: Kevin Cook
Address: 600 River Avenue Company: Design Concrete and Masonry LLC
City: Pittsburg State: PA Address:1606 SE Village Green Drive
Zip Code: 15212 Fax: City: Port St. Lucie State: FL
Phone No, 772465-0477 Zip Code: 34952 Fax:
E-Mail: kbloomer@libertytire.com Phone No 772-335-7915
Fill in fee simple Title Holder on next page ( if different E-Mail desig nconcreteand mason ry@gmai I 1com
from the Owner listed above) State or County License PSL144088
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.
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 CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x— Not Applicable
Name: Florida Engineering and Design, Inc.
Name:
Address:255 County 555 South
Address.
City: Bartow State: L
Zip: 33830 Phone 3- 6 -63 3
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: X Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 Owner/ Lessee/Contractor as Agent for Owner
ignat of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST �L�`e--
ATE OF FLORIDA
COUNTY OF 5 l
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of AQt ;T— 2024 by
Sworn to (or affirmed) and subscribed before me of
� Physical Presence or Online Notarization
this �� day of /�P�iT— 2024 by
IC2�-1�-r. glDorv.� t
Joe{ ►,C. Cs��
Name of person making statement.
Name of person making statement.
Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced JJ AA
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ICommissionNo.
9
Cindy M. Rine
Q` a�_NOTARY PU
(Signature of Notary Pub c- State of*40
STATE OF FL
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Cindy M. Rine
LIC G-7 ��94�NOTARY PUS
(Signature of Notary Pub c- State of F*A--�vqv
?bgission No. cSTATE OF FLComm#
22 tt Comm# GG96
Expires 3/2
/2024
Expires
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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