HomeMy WebLinkAboutFire District Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater �• % (p • �• Permit Num • t q o
RECEIVED
Building Permit Application JAN 16 2019
Planning and Development Services A
Buildingand Code Regulation Division F 'jr
jk
g Permitting Department
2300 Virginia Avenue, Fort Pierce FL 3
Phone: (772) 462-1553 Fax: (772) 462-1578 . COmmerClah ITS • u ie County, FL
PERMIT APPLICATION FOR: Renovation
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Address: 8611 S. U S HWY 1, PROT ST. LUCIE FL 34982 0 � 3 �S
Legal Description: ST. LUCIE GARDENS 26, 36,40 BLK 3 LOTS 12, 13, 14, & 15.
Property Tax ID #: 3414-501-1912-500-6 Lot No.
Site Plan Name: Block No. 3
Project Name: �—
Setbacks Front Back: Right Side: Left Side:
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Bathroom Renovations r � r�y{yt �' L�� 1571
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itiona wor to je�e ocme un er t is permit — c eck all apply:
�HVAC LJ Gas Tank Gas Piping _ Shutters a Windows/Doors
Electriclumbing Sprinklers 1:1Generator Roof Roof pitch
Total Sq. Ft of Construction: _ S . Ft. of First Floor:
Cost of Construction: $1�;TC�`� Utilities:Sewer 0Septic Building Height:
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Name Crowne St. Lucie Associates LP Name: RODERICK J WALLLER
Address: 1015 Financial Center Company: SUNRISE CITY C. H .D .O. INC.
City: Birmingham State: AL Address: 130 S INDIAN RIVER DR. #202
Zip Code: 35203 Fax: City: FORT PIERCE State: FL
Phone No. Zip Code: 34950 Fax: 772-907-0420
E-Mail: Phone No. 772-201-2850
Fill in fee simple Title Holder on next page (if different E-Mail: RODWALLER1 @GMAIL.COM
from the Owner listed above) State or County License: CGC1515114/CCC1327208
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
To: St Lucie County Fire Plan Review Page 1 of 1 2019-07-05 15:49:05 (GMT) 17729070420 From: Rod Waller
SAINT LUCIE COUNTY -FIRE VISTRKT
FIRE '-SAFETY PER,MITAPPL(CATION
Port, SOM Lucie, FL 34983.
TWephone: -7-72-6211:73322
Fax: -.7-7.2-621-3604
jr-- /,—,a 7j�
Web.Address: -www.s.104'.com tL��
Make fees payable to: Saint Lucie County Fire District.
JUL 8 2P
Type -of Request.
(�
Plan Review. 1 Permit Renewal Fire S p d Wk I 7er fire Alajrm 11-1 Fixed FiWProterjjon Tents
i
Fuel Stora e/Dlsposall FEILP. Stbta§&DIsposal Fireworks Display [] Fireworks Sale
[] Other
Project Na.;. LRevels
Ad&esd 8641-8643 S US Highway I city Port St Lucie
!Owner [Crowne St Lucie Associates
'Address 18641-8643
S US Highway I
City I * Port S1 Lucie FL
Fax:
F
Contractor
Sunrise City CHDO Inc.
}Qualirter
Roderick Waller
Address 130 S Indian River Drive Suite 202
City Fort Pierce State FL 10 3495
-]
Telephone 772-201-2850 Fax: L Fi 72-907-0420
State LIcense
CGC1515114
ompliance Engine ID
Contractor Affidavit; Application is hereby ma.0 e.toobtaliva perm itto do the wcrrkand installation as Indicpte.d. I certif -t-n y hvit . 0 work or instal lation. has.commenced
prior to the issuance OfSaidperrTlit Jn.the.cori!ijderationof.grzntirigtN5.:requested permit; I du herby agree:that.11wewl.11, In all respects, perform the.work'and
installation in accordance with the approved plans, the applicable-, Florida FIre I'myentlon Code,'Saint,Lucie County Fire'District Resoluilon,floricla Building Codeand
the N.FPACodes, Apla ri remisipr, after the jssua'!jce of the -permit is:sybject-to approya( trytheSaint Lurie County Fire Distfict. All workandinstaflation as indicated is
5ubjcct to field intpedion, compliance modification, and approval by the Saint Lucie County Fire District
Value per Square Foot
Signature
THE
Scope of Aqrk-F---
SquareFeet
Value offtvject 1 $14,000.00
)xv,�% —11 Date 17/5/19-- H.
FIRE PREVENTION CODE1201 0 EDITION IS CURRENTLY EN . FORCED.
Change of use I Add Bathroom
0
Invoice
Invoice Number:
Date:
Job Name:
Job Address:
Plan Review
July 3, 2019
Revels PSL - Crowne St Lucie Associates
8641-8643 S US Highway One PSL
Company:
Address:
City:
State/Zip Code:
Phone:
Fax:
Contact Name:
Sunrise City
130 S Indian River Dr # 202
Fort Pierce
FL 34950
201-2850
772-907-0420
Rod Waller
gree\r
Saint Lucie County Fire District
5160 NW Milner Drive
Port Saint Lucie, Florida
34983
Phone:772-621-3322
Fax:772-621-3604
www.slcfd.com
Item
Description
Quantity
Unit Price
Amount
1
Plan Review
1
$145.00
$145.00
Comments:
Sub -total
$145.00
FEES ARE DUE UPON RECEIPT.
Fire Marshal plan review and/or inspections shall not
be reviewed or scheduled until fees are paid. Fire
District fees are separate from Building Department
fees. Saint Lucie County Fire District Resolution
#543-12.
Grand Total
$145.00
MAKE CHECK PAYABLE TO: Saint Lucie County Fire District
Thank You.
Have a nice day!
LF
. -
I/L
Internal Use Only
Amount Paid:
Cash or Check
I /jam-
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CIO
Date:*
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