HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 6, 2020 Permit Number:
Building Permit Application
Planning and DevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ` Residential
PERMITTYPE:
,PROPOSED;IMPROVEMENT LOCATION:
Address: 8701 Orange Avenue, Fort Pierce, FL 34945
Property Tax ID #: _ Lot No.
Site Plan Name: Same _ Block No.
Project Name: DE UR Unit 2003 Foundation Stabilization Job 880L
DETAI11 LED DESCRIPTION OF WORK:
Foundation stabilization of Unit 2003, Work includes replacing the foundation block with a new block of the same size
and design.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft, of First Floor:
Cost of Construction: $ Utilities: _Sewer _Septic Building Height:
• OWNER/LESSEE:
CONTRACTOR:
Name Florida Gas Transmission, LLC
Name: Jay Greer
Address: 8701 Orange Avenue
Company: Iron Horse Energy Services, Inc.
Address:419 W Outer Road
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No.772-464-2831
City: Eolia State: MO
Zip Code: 63344 Fax: 573-485-8006
E-Mail: vauahn.cooi)ercDenergvtransfer.com
Phone No 573-485-8000
Fill in fee simple Title Holder on next page ( if different
E-Mail jgreer@ironhorseinc.net
State or County License
from the Owner listed above)
a vague or construction is ;>c.-juu or more, a KtcuKutu rootice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
rSUPPLEhII1ENTA'ECONSTRUCTIOJV
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
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 vrniR NOTICE OF COMMENCEMENT"
Vaughn Cooper, P.E. .
Signature of Owner/ Lessee/Contractor as Agent for Owner Sign re 4tContractorlLlcense Holder
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
this — day of —; 20_ by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
No notary is available due to Covid-19
(Signature of Notary Public- State of Florida )
Commission No. _ (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
STATE OF
COUNTY OF kpay*MPlkeuri
The forgoing instrument was acknowledged before me
this 6 day of —April 2020_ by
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Sig ure f Notary Public- tate gfdil3Pryi40a01ic - Notary Seal
Lincoln County - State of Missouri
Commission No. 15389039 Commissf. ber 15389039
v Commissidn` res May 16, 2023
SUPERVISREVIEWOR I REVIEW PLANS I V REVIEW GETATION I SEA REVIEW TURTLE
VEWLE I MREVI WVE