HomeMy WebLinkAbout1-Permit Application 20x20All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-18-2022 Permit Number:
�Vo llKUCGLi�-� AFTER-THE-FACT (am�T ·-.. ,
I? 11 ® m IJ ID ffJ � Building Permit Application
Planning and Development Services ✓ Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Lot No.
Block No.
Address: 3130 Seminole Road
Property Tax ID#: 1326-800-0002-000-4
Site Plan Name: VenergY'. Warehouses
Project Name:Venergy Warehouse #3 20x20 I DETAILED DESCRIPTION OF WORK:
Pre-engineered metal building for warehouse. Slab, metal shell, spray insulation and electrical.
No plumbing. No mechanical. No interior finishes.
New Electrical Meter N/A Second Electrical Meter (Affidavit required) I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
-Mechanical Gas Tank _ Gas Piping -Shutters Y Windows/Doors -Pond
YElectric _ Plumbing _ Sprinklers Generator YRoof 3:12 Pitch
Sq. Ft. of First Floor: 20' X 20' = 400 sfTotal Sq. Ft of Construction: 20' x 20' = 400 sf
Cost of Construction:$ $10,000 Utilities: Sewer _Septic Building Height: 12'-6"
OWNER/LESSEE:
Name Corey: Clive
Address: 3130 Seminole Rd
City: Fort Pierce
Zip Code: 34951 Fax:
Phone No. 772-201-0006
Mail: howard@venergygrou�.com
State: FL
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-
CONTRACTOR:
Name: Howard Ehrsam
Company: Venergy: Group, LLC
Address: 3130 Seminole Rd
City: Fort Pierce
Zip Code: 34951 Fax:
Phone No 772-201-0006
E-Mail howard@venergygrou�.com
State or County License CGC1528781
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.
State:£!:_
I
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN FORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: L Not Applicable
Name: Wayne Moore Name:
Address: 484 NWTurnerAvenue Address:
City: Lake City, FL 32055 State: --City: State: --Zip: 32055 Phone 386-754-2177 Zip: Phone :
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: ~Not Applicable
Name : Veteran Seminole Rd LLC Name:
Address: 3130 Seminole Rd Address:
City: Fort Pierce City:
Zip: 34951 Phone: n2-201-006 Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: App lication is hereby made to obtain a permit to do the work and installation as indicated.
I u1 ,iii, ,1 JI II II !I it a,a111,ia I u 1 1 ! ud 191 iat ,a ,1 ! ·u Iii 19 !It i, (After-the-fact permit)
St. Lucie Cou nty makes no representation that is granting a permit w ill authorize the permit holder to build the subject structure
which conflicts with any applt cab le Homeowners Association rules, bylaws or and covenants that may restrict or prohi bit such
structure. Please consult w ith your Homeowners Association and review your deed for any restrictions which may app ly.
In consider ation of the granting of this requested permit, I do hereby agree that I will, in a ll respects, perform the work
in accordance w ith the approved plans, the Florida Bu ilding Codes and St. Lucie County Amendments .
The following building permit application s are exempt from undergoing a full concu rrency review: room additions,
accessory structures, swimm ing pools, fences, wal ls, signs, screen room s and accessory uses to another non-residentia l use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may resu lt 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
. h I d b f . k d' N . f C t w:t en er or an attorney e ore commencing wor or recor :ng your ot:ce o ommencemen .
~~u___
Signature of Contractor -or -Owner Bui lder as applicable
STATE OF FLORIDA
COUNTY OF ST. L VC/€
Sworn to (or affirmed) and subscribed before me of ...)!;__ Physical Presence or __ Online Notarization
this~ day of,-. JA.v VA~✓ , 202-Z.. by
f+ow4-1-~
I
E.tf./2£_;, ,-/\
Name of person making statement.
Personally Known ~ OR Produced Identification --
Type of Identifica tion Produced
L) ~~ ~ / 'I,,,...
L(Signature of Notary Public-State of Florida)
Comm iss ion No. 99°(8t7<J4 (Sea l) 4i/i...,.. JOSHUADAVIDWHITE l (i·At~ MY COMMISSION# GG 981704
~~:. .j_: EXPIRES: August 24, 2024
---~fo·,;;.~t··· Bonded Thru Notary Public Underwriters ~ ........
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVI EW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
~ev 10/12/21