HomeMy WebLinkAboutBuilding Permit Application*%"0
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date-_3-2,-� c� / 0 ��� Permit Nu b
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AX0 P N; 01
MAR 18 2020
Building Permit Appl Rntina ef7)E1 .tl1lenf
Planning and Development Services �. LllCle®�� �L
Building and Code Regulation Division Yr
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial X Residential
PERMIT TYPE: � +ft h �t
_
PROPOSED IIUIPROUEMENT LOCATION FPL St Luce Service Center==
Address: 3301 Orange Avenue, Ft. Pierce, FL 34951
Property Tax ID #: 2408-311-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name: FPL St. Lucie Service Center Fuel System
Installation of a 3,000 gallon above ground fuel tank with dispensers
CONSTRUCTION INFORMATION gSli
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Additional work to be performed under this permit —check all that apply:
-_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
/
V Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 900 Sq. Ft. of First Floor:
Cost of Construction: $ 239,962 Utilities: —Sewer —Septic Building Height:
Name Florida Power & Light
Name: Michael S. Burchell
Address: 700 Universe Blvd
Company: Branching Out, Inc.
City: Juno Beach State: FL
Address: 23300 SW 134 Avenue
Zip Code: 33408 Fax:
City: Homestead State: FL
Phone No. 561-329-4465
Zip Code: 33032 Fax:
Phone No 305-258-8101
E-Mail: Chris.Hambaugh@fpl.com
Fill in fee simple Title Holder on next page ( if different
E-Mail branchout1 @bellsouth.net
State or County License PCC 056810
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CON S-T, RUCTICINIIENK LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Steven Hurst
MORTGAGE COMPANY: N/ANot Applicable
Name:
Address: 2300134 Avenue
Address:
City: Homestead State: FL
Zip: 33031 Phone 305-258-8101
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: N/ANot Applicable
Name:
BONDING COMPANY: N/TNot Applicable
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 prohibit such
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
A � f� K)&A
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 10, cck
COUNTY OF
The forgoing instrument was acknowledged before me
The foi gZ' g instrument was acknowledged before me
this _Lday of Wlrc�A 20_�o by
this _LX day of 20__2C-bfy
Sheri Kocher
/ I
Name of person makings tement.
Name of person making statement.
Personally Known
Personally Known Y/OR Produced Identificatioh
Type of Identification 1,�1CRYPv84, COLLEEN SEMEIQTE-CLI
Public -State of Florida
Type of Identification
Produced :� »;Notary
mission # GG 323596
produced
of FloridaOF
F��` My Commission Expires
#,illy`` May 04, 2023
ap Valerie Edwards
my Commission GG 2689e6
a xpires.021312023
(Signature of Notary Public- State of Florida)
(Signature of ary ub ic- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
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ev. 2/7/19