HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 0-21 0 Permit Number:d oo3 0,555
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial XXX Residential
PERMIT TYPE: Building
PROPOSED IMPROVEMENT LOCATION:.
Address: 3108 Industrial 29 St, Fort Pierce, FL A Is a S 4 ow M a,t 1207 l ad u s p,-. f a 7 9 f t
Property Tax ID #: Parcel ID 1429-501-00072-000-3, Acct #130739 1 ya 9 50100 7 0e 00 9 Lot No. 8 & 13
Site Plan Name: Greenwood Motor Lines Block No. 5
Project Name: R & L Carriers replace existing Fuel Facility
DETAILED DESCRIPTION OF WORK:
Remove existing fuel facility, install new canopy, tank and fuel facility ; » Saw►tp c e
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical X Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
00
Cost of Construction: $ 9 91 NLA Utilities: —Sewer —Septic Building Height:
„%
OWNER/LESSEE:
CONTRACTOR:
Name RLR Investments, LLC
Name: Dale Jessup
Address: 600 Gillam Rd
Company: Southern Pump & Tank Co, Llc
City: Wilmington State: OH
Address: 435 Cassat Ave
City: Jacksonville State: FL
Zip Code: 45177 Fax:
Phone No. 937-382-1494
Zip Code: 32254 Fax: 904 389-1864
E-Mail:
Phone No 904 388-7571
Fill in fee simple Title Holder on next page (if different
E-Mail dale.jessup@spatco.com
from the Owner listed above)
State or County License PCC 056875, CBC-059983
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.
u
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: FredeftkABleCha
Name:
Address:
Add ress: 1700 N orange Ave
City: Orlando State: FL
City: State:
Zip: 32804 P h o n e 407-206-7222
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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 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 L5MER OR AN ATMRNY BEFORE RECORDING YOUR NOTICE SF COMMENCEMENT."
Dip6fiy signed by: Dal. Jessup
D I �� CN= Data Jessup email= dalejessup@,patw.wm
. =US0= Sputhem Pump and Tank OU=lnsLMgr
2020.02.21 15:33:26 -05'00'
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Sig natu of Contractor/License Holder
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STATE OFf�
STATE OF FLORIDA
COUNTY OF oDyai
COUNTY OF Q \k
The f^forgoing instrru. ent was acknowledged before me
The forgoing instrument was acknowledged before me
24 February, 2020 by
this`day of lz 200 Dby
this day of 20_
C JI-DiV
Dale Jessup
Name of person making statement.
Name of person making statement.
Personally Known FOR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
igdally signed by: Dena Hinson
c �D :CN= Dena Hinson email=Dena.
ena nSonhi
son@spatco.com C=U50=Sou hem
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19