HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPL,_ al FOR APPLICATION TO BE ACCEPTED . L.
Date: \b o'L3 \ rJ Permit Number: ( 5� 0 -O 3�'1
SCANNED
RECEIVED OCT 23 2015 BY
p Building Permit Application St. Lucie Countv
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 -P011CFaclliv Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �ev.at +i0 f
PROPOSED IMPROVEMENT10'CA710N;,
Address: 403 bound 1-95, Fort Pierce, FL 34947pkVV
Legal Description: St. Lucie County Rest Area NORTH BOUND)IF
Property Tax ID #: 2303-111-0025-000-8 Lot No.
Site Plan Name: V NV Block No.
Project Name: 433963-1 ST. LUCIE COUNTY NORTHBOUND AND SOUTHBOUND REST AREAS
Setbacks Front Back: Right Side: Left Side:
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
❑HVAC Gas Tank ❑Gas Piping
Electric ❑ Plumbing ❑Sprinklers
Total Sq. Ft of Construction: 4323
Cost of Construction: $ 40,000.00
L1Shutters ❑Windows/Doors
❑✓ Generator ❑ Roof
S Ft. of First Floor: 4323
Utilities: Sewer ❑Septic
Building Height:
OWNER/LESSEE,,,:: h,.,
'CONTRACTOR -r y_ ,;f, <` "
:,
Name FLORIDA DEPARTMENT OFTRANSPORTATION DISTRICT4
Address:3400 W COMMERCE BLVD
Name: OSVALDO MONIER
EAS, INC. aN(%CPaO
City: FORT LAUDERDALE State;FL 1
Zip Code:33309 Fax: r,;ti
Phone No. 954 486-1400
AddreBS° 1:580 WWT 8TJ,l PLACE
City;;,HIgLEAH ;":S>%. State: FL
Zip Code Fax: 305-824-2859
Phone No. 305-824-2858
E-Mail:_
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: CUSTOMERSERVICE@NOVOAELECTRIC.COM
State or County License: EC 13006771
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: MICHAELWPRIORy
Address:3230 WEST COMMERCWL BOULEVARD SURE 100
City: FORT LAUDERDALE State: FL
Zip:33309 Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City: _
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 ppermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assoc iatiomrules :bylaw. a andcovenantsthat may restrict or prohibit such
structure. Please consult with your Home Owners Association'., youddzed 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_ =r/i
_ Signatu a of�ner/ Lessee/Agent
STATE OF FLORID
COUNTY OF r�i�ard
The forgoing instry�n ent w�aas acknowledged b fore me
thl! d41 . f f%G�DT7P!^ 20/�by
OF FLORID li
The �inginstras/acknowledged before me
thi �dayof M � 2�by `
/57
1 '49 A°S
(Name of person acknowledging) (Name
(Signature of Notary Publ(c- tate of Florida) (Si na
Personally Known OR Produced Identification P Cson
Type of Identification Produced TIpe a
Commission No.f�/�/ 3 11,
DEBORAH P.
; ° tglAt Notary Public -
Revised 07/15/2014
Commission N FF 131322
ded itrouah National Notcry A—
/?A -
of Notary Publir/Stafe of Florida )
OR Produced Identification
�10 COMMISSION# EE2010981 (Seal)
Y 28.2016
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