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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i L' 2. Permit Number:
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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 CBDG Funding
PERMIT APPLICATION FOR: Wolflube Equipment Retaining Wall
PROP4SEfl 1MFRQVEMENT`LOCAT{C?N`; W ; 4
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Address: 4774 S. Jenkins Road, Fort Pierce, FL 34981
Property Tax ID#: 3406-502-0009-000-9 Lot No.14
Site Plan Name: Wolflube Retaining Walls Block No.
Project Name: Wolflube Equipment Office & Warehouse
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DETA{LE DESGRI'PTION`QF WORK � �
;1.
Form & Pour 850LF of concrete retaining wall on North & South sides of property
New Electrical Meter Second Electrical Meter (Affidavit required)
AV 07 3-
DONSTRUCi IONS{NFORMATION` zf
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Additional work to be performed under this permit-check all that apply:
Mechanical —Gas Tank —Gas Piping —Shutters —Windows/Doors —Pond
Electric Plumbing Sprinklers Generator Roof Pitch
— — g — p — —
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 50,000.00 Utilities: —Sewer _Septic Building Height:
t01lit�{ IESSEE: y x _ iCO,NTRACTOR �
c ses_K'�_"k.ra4+(.e s'"k' ' ,x_ .. a.
Name Panelli Fort Pierce LLC Name: Jeremv Foulks _
Address: 6499 Powerline Rd. , Ste 101 Company: RF Concrete Construction, Inc.
City: Fort Lauderdale, State: FL Address: 664 Old Dixie Hwy.
Zjp Code: 33309 Fax: City: Vero Beach State: FL
Phone No. E- Zip Code: 32962 Fax: 772-778-2142
Mail: Phone No 772-567--3356
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Fill in fee simple Title Holder on next page(if different E-Mail jeremy@rfcconstruction.com
from the Owner listed above) State or County License CGC1504441/32009
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.
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SUP„R&EMENTAL CONSTRUCTIONr LIEN LA,W UNI=ORMATION•
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: MBV Engineering Name:
Address: 1835 20th Street Address:
City: Vero Beach State: E16idida City: State:
Zip: 32960 Phone 772-569-0035 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 conflicts with any applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 Offer/Lesse /Contractor as Agent for Owner
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STATE OF FLORIDA_ 4D
COUNTY OF d e
Sworn to(or affirmed)and su scribed before me of x Physical Presence or Online Notarization
this 2:21 day of e—m/ev .20,;Z/by
Name of persorf making statement.
Personally Known _OR Produced Identificati�� ��N���
Type;of Id tification Pro uced Al �i0���i, b.
`��.• •ION •, /�
BER 4, i
(Sig t u r e of ary Public-State of Florida)
.40
Commission No. (Seal) Z* '. gI{Iite1 P'o
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1public lJO
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
(DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21