HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE
FOR APPLICATION TO BE ACCEPTED
Permit
RECEIVED
Building Permit Application
Planning and Development Services �y r�- 1 ,, C�1—f'1 FEB 77 2018
Building and Code Regulation Division Gtf t c.�F 1 +�-�J�.tl v�
2300 Virginia Avenue, Fort Pierce FL 34982 V J `�T• Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Xx Residential n A.,.11—
PERMIT APPLICATION FOR: Buildin ar
9 St I IIr•ie r,,,...a
Address: �JGiO N /zOG/C ROAD, GOki RIERGE, fL A&9 zo
Legal Description: BEGATSECOROFNW114OFNE114RUNS89DEG49MIN03SECWALGSLIOFSDNW114OFNE1141368.32FTTOER/WOFROCKRD,
TH N 00 DEG 07 MIN 28 SEC W ALG SD E RTW 315.74 FT, TH S 89 DEG 36 MIN 20 SEC E 1369 FTTO E U OF SD NW 114 OF NE 114, TH S 00 DEG 00 MIN 17 SEC E ALG SD E LI 320.81 FT TO P03
Property Tax ID #: 2311-123-0001-000-6
Site Plan Name:
Project Name: AMERICAN CONCRETE INDUSTRIES, INC.
Setbacks Front SEE SITE PLAN Back: SEE SITE PLAN Right Side: SEE SITE PLAN Left Side: SEE SITE PUN
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
CONSTRUCT 10,000 S.F. PRE-ENGINEERED METAL BUILDING WAREHOUSE WITH
ASSOCIATED SITE IMPROVEMENTS
❑HVAC ❑ Gas Tank ❑Gas Piping ❑_shutters ❑ Windows/Doors
ZElectric ❑ Plumbing ❑Sprinkl 60 El Generator El Roof 5:12 Roof pitch
Total Sq. Ft of Construction: 10,000 S.F.' S . Ft. of First Floor: 10,000 S.F.
Cost of Construction: $ 617, . 0 CY Utilities: 0Sewer ❑Septic
Building Height: 30'-0"
OWNERAE r
CONTRACTOR:
Name Rw.&r `• f.VdWE
Name: A011&1.41 .01414/f
Address: 066 /I%• ROGk QDAD
Company: RICHARD K. DAVIS CONSTRUCTION CORP.
City: FORT PIERCE State:FL
Zip Code: 34945 Fax:772-465-7665
Phone No. 772-464-8711
Address: P. O. BOX 186
Gty: FORT PIERCE State: FL
Zip Code: 34954 Fax: 772-465-7665
Phone No. 772-461-8335
E-Mail: bob@aciprecast.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: rpriest@rkdavis.com
State or County License: CGC013084
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
—DESIGNER/ENGINEER: _
Name: aI& waLG , RE.
Not Applicable
MORTGAGE COMPANY: _
Name: WGu_s QA&ep
Not Applicable
Address: 1984 SW BILTMORE STREET
Address: 5o/ 0Rf1A/(E 4116446E
City: FORTPIERCE
Zip: 34984 Phone 779-785-9888
State: FL
City: FORTPIERCE
Zip: 34950 Phone: 772-242-9824
State: FL
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY: _Not
Name:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature ofContractor/License Holder
STATE OF FLORIDA
COUNTY OF fT LUGlE
STATE OF FLORIDA
COUNTY OF . jT Ld '14
The for . 9 instrument was acknowledged before me
this day of U4AI",w 20� by
The for qq�. I9 instrument was acknowledged before me
this ' -gay of t&W &)fG . 20,4�! by
4fiyene
&M(Af PA✓'1
Name of person making statement
Name of person making statement
OR Produced identification
Personally Known X OR Produced Identification
Type of Identification
Type o I enti ica ion
Produced
Produced
(Si a re of Notary u i -
ROGER A. RIEST
(S' n ure of Notary Pu lic- '
( .ROGER.A.PRIEST
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REVIEWS
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REVIEW
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REVIEW,
REVIEW
DATE
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RECEIVED
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DATE
COMPLETED
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Rev.8/2/17 1 1 t I