HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr-\
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /'- lS' // SCANNED permit Numhpr• 1661, 0 203
BY
St. Lucie County
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
PERMIT APPLICATION FOR:
7z-. o c)
Commercial yes Residential
I PROPOSED INPROVEMENT LOCATION: I
Address: 3251 North A1A, Fort Pierce, FL 34949
Legal Description: see attached
Property Tax ID #: 1425-232-0001-000-8 & 1425-232-0003-000-2
Lot No.
Site Plan Name: North Hutchinson Island WWTF Block No.
Project Name: North Hutchinson Island WWTF Plant Expansion to 850,000 GPD
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK III
Prefabricated EFI Building for WWTF Plant Expansion
CONSTRUCTION INFORMATION: III
HVAC L _l Gas Tank
Electric ❑ Plumbing
Piping
❑_Shutters
❑Windows/Doors
nklers
❑ Generator
❑
Roof
Total Sq. Ft of Construction 15DD )e
Cost of Construction: $ 426,000 -/29 "
S Ft. of First Floor: _
Utilities: Sewer ❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St. Lucie County Utilities
Name: William B. Schuh
Address:2300 Virginia Ave.
Company: Summit Construction of Vero Beach
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-462-1150
Address: 2837 Flight Safety Drive
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-794-2097
Phone No. 772-794-2099
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: brad@summitcm.net
State or County License: CBC1259095
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: MastellerBMoier,inc.
MORTGAGE COMPANY: Na
Name:
Not Applicable
Address: 1655270, Street, Suite 2
Address:
City: Vero Beach State: FL
Zip: 32960 Phone:772-567-5300
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Ne Not Applicable
Name:
BONDING COMPANY: _Not
Name: Old Republic insurance co.
Applicable
Address:
Address: POBox4668
City:
City: winter Park, FL
Zip: Phone:
Zip: 32793 Phone: 407-677-0080
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 recordine vour Notice of Commencement.
Signature of Owner/Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTYOF IfJNIAA RI�/tIZ
The forgoing instrument was acknowledgP2dd,b,efore me
this 12Lday of SLAL420UI by
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this S1 dayofJR �-4- 20D' by
WILLIAf-1 Pi. S"LAI-F WILLIAV-1 6, SU "VA
(Name of person acknowledging) (Name of person acknowledging )
(Signature of tary Public- State of Florida )
Personally Known 11-�OR Produced Identification
Type of Identification Produced
(Signature tary P - State of Florida )
Personally Known k"I"OR Produced Identification
Type of Identification Produced
Commission No. rar.ua4, (Sea&6RISTVSHULHM Commission No. 4e.B;YP(Sea RISTYSHUUiAN
IL # * MY COMMISSION t FF 135252 * * MY COMMISSION f FF 135M
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Revised 07/15/2014 /n' 1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLAN
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
IS
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DATE
COMPLETED