HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COM
Date: dO to laotal
FOR APPLICATION TO BE ACCEPTED
Permit Number:
91r dN1C E
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: ��"9t
Sunshine �chen Treas re Coast Research
.
PROPOSED IMPROVEMENT LOCATION =.'
Address: 7550 Pruitt Research Center Rd Fort Pierce,
Property Tax I D #: a-? 14 -- F(70 - adC) ( - OQ� - 3
Site Plan Name: Sunshine Kitchen Treasure Coast Research Park
Project Name: Sunshine Kitchen Treasure Coast Research Park,
DETAILED DESCRIPTIO'N'_OF
Install overhead 3/4" EMT conduit from panel 1 D1 w/ (3) #8 wires on 20A Breaker for Trace Heater.
Lot No.
Block No.
Install 120V dedicated recept. or disconnect & flex connection to power Trace Heater. Install sinks, drain piping & venting for new drain piping, connect
Additional work to be performed under this permit- check all that apply:
_Mechanical , Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 111G0
Cost of Construction: $ ;&,do
Generator
— Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE ;CONTRACTOR
a ems,t' �- �:� G�
Name: A Thomas Const. Inc Andrew Thomas
Company: A. Thomas Const Inc
dress-,�'�-3� a \%1 �cAr--
r. �. V 41�G
Ct yf 4wt�L-� State:�i
Address. P.O Box 3285
Zip Code: 3 mot£'' Fax:
Ft Pierce FI
City: State:
Ph ne No,
Zip Code: 34948 Fax: atconst06@yahoo.com
EI
E=fVlal :,
Phone No 772-216-5898
'f
F'I e<simple Title Holder on next page if different
E-Mail ATCONST06 YAHOO.COM
from the Owner listed above)
State or County License CGC1 522275
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 LI;EN'LAW. INFORMATION: '.'-
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:_
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 prohibitsuch
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 Ipnripr nr an attnrnpv hpfnrp commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIPA
STATE OF FLORIDA ,
COUNTY OF r-1 ZDz-' :3-
COUNTY OF tea*
Sworn to (or affirmed) and subscribed before me of
Sworn -to (or affirmed) and subscribed before me of
� r�s'ical Presence or Online Notarization
')c Physical Presence or Online Notarization
this day of 202ti by
this t Sday of Z02eby
Name o person making statement.
Name of person making statement.
OR
Personally Known L-emOR Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced N
Produc
(Si tur No is-pu
(Sign e o Public- Sta
eft} 356656
%lilt/ G
,o P°a��,Notatymission#e Xplses
_r Com n
E FITZPATRiCK
„ FAY nda
Commission No. _ +
Commission N pR�PUB'�/yPubiic-Stat�j�56
e
�� 17ommisa423
3sQr oQ�` August
fission # G%Tres
Comm
Commission Exp
Au9us
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VE4
RTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20