HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMP__: ''D FOR APPLICATION TO BE ACCEPTED
Date: ID�s gj 1j SCANNED Permit Number: 1510-0327
BY
St. Lucie Countv
Building Permit Application OCT 2 3 2015
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 - P.blicFall ty Residential
PERMIT 'APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:' "..
Address: 40392 Southbound 1-95, Fort Pierce, FL 34947.
Legal Description: St. Lucie County Rest Area S_GMTiH BOUND)
Property Tax ID #: 2303-111-0025-000-8 Lot No.
Site Plan Name: Block No.
Project Name: 433963-1 ST. LUCIE COUNTY NORTHBOUND AND SOUTHBOUND REST AREAS
Setbacks Front Back: Right Side: Left Side:
1.DETAILED DESCRIPTION OF WORK ,_,r
FURNISH AND INSTALL DIESEL GENERATOR WITH A SUB -BASE DIESEL TANK AND A
WEATHERPROOF ENCLOSURE. GENERATOR WILL BE INSTALLED ON A 6-INCH THICK
CONCRETE PAD'..
CONSTRUCTION INFORMATION �x t
Aacl
rtlona wor to e e orme un ert ispermit—checka appy:
OHVAC �GasTank ❑Gas Piping Shutters Windows/Doors
Electric 0 Plumbing []Sprinklers R1 Generator 0 Roof
Total Sq. Ft of Construction: 4323
Cost of Construction: $ 40,000.00
S Ft. of First Floor: 4323
Utilities: Sewer Septic
Building Height:
;OWNER/L=ESSEE: a ;;=
CONTRACTOR;
NameFLORIDADEPARTMENTOFTRANSPORTATIONDISTRICT4
Name: OSVALDO MONIER
Address:3400 W COMMERCE BLVD
;Company!: NOVOA°EL•ECTRICAL COMTRACTORS, INC.
City: FORT LAUDERDALE State:F Biio1 `
"aaabe55 15BO WEST�38TH PLACE
Zip Code: 33309 Fax: I ssclt
City^;HIAL•EAH :,y err-, State: FL
yc::1.sk•...,
Phone No.954-486-1400
7ru�m...d
30A2 -.Zip,-ode: , ;ma`s Fax: 305-824-2859
Phone No. 305-824-2858
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail: CUSTOMERSERVICE@NOVOAELECTRIC.COM
State or County License: EC 13006771
from the Owner listed above)
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
-f
1
ON LIEN LAW INFO
Name: MICHAELWPRIORY.- ,
Address• 3230 WEST COMMERCIAL BOULEVARD SUITE 100
City: FORTLAUDERDALE State: FL
Zip: 33309 .Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip:
Phone:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
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# and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Associatiori'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 vour Notice of Commencement.
_ Signature of O er/ Lessee/Agent
STATE OFFCOUNTY OFORIDA/1 ^y COUNTYOFORIDSTATE OF A/��
The ing instryen� w s acknowledgedJ1e€ore me
thi _day of (icmo . 20/2 by
1 /l O'lel-l— /—
(Name of person acknowledging)
(Signature
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.F%/3/02- aDEBORAHP.2uc
Public • S
My Comm.My CaExpiress I
Revised 07/15/2014
The forgoing instrument acknowledged before me
thiscodayof .20 ZEby
e.-�
of Nof'ary Public- State of
Known ✓ OR Produced Identification
#EE201098I (Seal)
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