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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'w'-` g ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J� ? Date: 7/2012015 SCANNEL) Permit Number. AS/ _LC 33 BY 99 St. Lucie Count% Building Permit Application FiECEl9/E® Planning and Development Services OCT 2 0. 2015 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553. Fax: (772) 462-1578 Commercial x(Public Fatlllty) Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION Address: 40392 S�ufhloIIttdd;95, Fort Pierce, FI 34947 Legal Description: St Lucie County Rest Area (South Bound) PropertyTax ID #: 59-3024028 Site Plan Name: Project Name: 433963-1 St Lucie County Northbound and Southbound rest areas Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: INSTALLATION AND OPERATION OF A TEMPORARY BATHROOM TRAILER. TRAILER WILL INCLUDE TEMPORARY ELECRICAL SERVICE WITH LOAD CENTER. TRAILER INCLUDING ALL PIPING, SIGNAGE, AND PATCHWALLS WILL BE REMOVED AFTER REST AREA TOILET ROOMS ARE BACK ONLINE.,J1-1)fgQ /) Z%9 CONSTRUCTION INFORMATION:' Huaiuonai worKto De DerTormea unaerinis permit—cnecK au apply: 11 Gas Tank ❑Gas Piping _Shutters Windows/Doors ZElectric Plumbing Sprinklers E] Generator ❑ Roof Total Sq. Ft of Construction: 4323 Cost of Construction: $ 20,000 S��Ft. of First Floor: 4323 Utilities: L Sewer W1Septic Building Height: _ OWN€R%LESSEES Name Florida Department of Transportation (District4) Name: John J4%0 A—CA11S Address:3400 W Commercial Blvd Company: IMECO, inc City: Ft Lauderdale State: FI Zip Code: 33309 Fax: Phone No. -1400 Address: 20030 E Oakmount Drive City: Hialeah t e Zip Code: 33015 Fa . Phone No. 954-699-5705 E-Mail 311A70 i Fill in fee simple Title Holder on next page (if different from; Owner listed above) E-Mail: State or County License: - j z©4zQ n value or construction is pZ50U or molp, a KEcoRDED Notice of commencement is required. ,So PPLEMENTAL,CONSTRUCTION' LIEN' LAWINFORMATION: , DESIGNER/ENGINEER: Not Applicable Name: w.Pdory Cyu� MORTGAGE COMPANY: _ Not Applicable Name: Address: 3230 West Commercial Blvd, Suite 100 Address: City: Fort Lauderdale State: Fi Zip: 33309 Phone: 954-733-7233 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: = Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: 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 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 commencine work or recordine vour Notice of Commencement. � 7� _ S _ Signature of Lessee Agent Sin re of-Contractor/License Holder STATE OF FLORIDA ,�/i / STATE OF FLORIDA COUNTY OF 4/J OGriS1/^ COUNTY OF r't>+G-ac-A The for ing instry(��n was acknowledged before me The forgoing instrument was acknowledged before me this Yday of 2 20 /Sby this t� day of ()C oC�C 20 �` by (Name of person acknowledging) (Name of person acknowledging) Commission No. 13I32 Z i �r r e%.g 2 /U ot Signature of N tary Public -State of Florida ) Notary Pu61c = state' ymb-fr a My Comm. fxpires Oct 5, 2018 Revised 07/15/2014 9andea aid LIANA M SILVA EXPIRES Nmember 17.2016 reran.. F"idOk Maerloe.mo REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS