HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/9122
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: DLF Packing LLC -Fire Alarm
PROPOSED IMPROVEMENT LOCATION:
Address: 150 N Graves Rd, Fort Pierce, FL 34945
PropertyTax ID #: 2212-242-0001-000-8 Lot No.
Site Plan Name: Block No.
Project Name: DLF Packing LLC ^
DETAILED DESCRIPTION OF WORK:
Existinq supervisory panel damaged by power surge (Silent Knight - no longer available). _
Replaced existing panel with new Potter 4060 panel.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
—Mechanical _ Gas Tank — Gas Piping _ Shutters � Windows/Doors � Pond
X Electric Plumbing
('`Fire Alarm) T
Total Sq. Ft of Construction:
Cost of Construction: $ 2,500.00
— Sprinklers
Generator hoof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer — Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name DLF Packing LLC _ _
Name: Mark G. Core
Address: 15Q N Graves Rd
Company: Gulfcoast Fire & Safety Co., Inc.
City: Port Pierce State: FL
Address: 8419 Washington Street
Zip Code: 34945 Fax:
City: Riverview State: _EL_
Phone No. 772-359-6300 E-
Zip Code: 33569 Fax: 813-671-8123
Mail: jmyersQdlf ap cking.com
Phone No 813-955-0099
Fill in fee simple Title Holder on next page (if different
E-Mail jasen@gulfcoastfire.net
from the Owner listed above)
State or County License EF0001128
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: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
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.
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, wails, 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 attornev before commencinR work or recordiniz vour Notice of Commencement.
C�
Signature of Contr to r - Owner Builder as applicable
srarE OF FLORIDA
COUNTY OF �'I�arX
Sworn tq (or affirriltPhy d} and subscribed before me of t sical Presence or Online Notarization
this �f�%day c r. 20,�-.2by
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Name of person making stat ment.
Personally Known OR Produced Identification J-1"
Type of Identifi i ced e ( :i 4 7- G7— 3c)f -U
(Signatur f Public- State of Florida)
' s Rudolph Donatien
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Commission No. n NOTARY PUBLIC
(Seal} o
0 o STATE OF FLORIDA
y Comm# GG199068
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�� Expires 3/21/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
F�eV10/12/21