HomeMy WebLinkAboutBUILDING PERMIT APPLICATION`ALL AdPLI
Date: `7119D
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
VV • SCANNED Permit Number: 1509-0146
St. Lucie County
Building Permit Application SEP 2 4 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
Public Works
St. Lucie County, FL
Commercial X Residential
PERMIT APPLICATION FOR: Other C QV1S'si V.CC�'r� lfcXt1I
PROPOSED IMPROVEMENT LOCATION:
Address: 9675 Range Line Road, Port St.,Lucie,,fL 34987
Legal Description: See attached warranty deed.
Property Tax ID #: 4201-113-0001-020/9 and 4201-113-0001/-010/6 Lot No.
Site Plan Name: Liberty Tire Recycling Block No.
• s
Project Name: LibertyTire Recycling
Setbacks Front 50 Back: 40 • Right Side: 30 Left Side: 30
DETAILED DESCRIPTION OF WORK.
Construction of Pipe Rack Bridge -System between Buildings 4 & 6
CONSTRUCTION INFORMATION: '
�HVAC
-_Gas
IIVIIIIGV
YIIUC4 U113
• []Gas
1JcilIIIL— U llUN 011
tllltlly.
Tank
Piping
Shutters
Electric
0•Plumbing
Sprinklers
Generator.
Total Sq. Ft of Construction:
Cost of Construction:
S Ft. of First Floor: _
Utilities: SewerESeptic
QWindows/Doors
Roof ••
Building Height:
OWNER/LESSEE: _ - _,
.CONTRACTOR:
Name Liberty Tire Recycling,LLC_
Name: Theadore'Willems
Address:1251 Waterfront Place, Suite 400 -
Company: Don Willems Builder INC
City: Pittsburgh State:PA
Zip Code: 15222-4261 Fax..
Phone No.772,465-0477 - -
Address: 701 HARTMAN RD.
City: FT. PIERCE State: FL
Zip Code: �4947 Fax: (772) 461.-4729
Phone No. 772-519-0167, (772) 461-5532
E-Mail: kbloomer@libertytire.com
Fill in fee simple Title Holder on next page( if different
from the Owner listed above)
E-Mail: martyatdonwillemsbld@comcast.net
Stateor County License: CGC1504958
IIIt value of construction -is $2500 or more, a RECORDED Notice of Commencement is required. • II
t<_
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:-'
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: RoddaEng-n ringa dDesign, I=
Name:
Address: 255 Co mqr Road sss south
Address:
City: eadow State: FL
City: State: FL
Zip: x 40.7702 Phone: sw-ss�
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
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
commencing work or recording vour Notice of Commencement.
�4 ^_ p D_ //,/ s
Signature of Owner/ Lessee/Agent Signature of Contractor/License`�unst/Holder
STATE OF FLORIDA - STATE OF FLORIDA
COUNTY OF fZ5�,- 1 ,J (a -r . COUNTY OF 1 .y c\-'e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 Eby this-'):, day of SQ�j 20 LZI by
�%P1'� ACME CJ-� ��� r✓mS I R�-P,�) �. (�J . L�CMC
(Name of person acknowledging) (Name of person acknowledging)
(Signature JFcotaryWublic- St
3ersonally_Known�= OR.
Type of Identification Producec
Commission No '' :ram=a J. L
GAFF
fn
Revised 07/15/2014
2016
of Notary Public- State of Florida )
_
Type of
Commission
J. L
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
RE IEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
/
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D*e. Gelober-05-.20-t# ck I Q91 15 Permit Number: \ Saq - O \ y 6
x
RECEIVED SEP 09'2015
SCANNEDBuildin Permit Application
BY
Planning and Development Services at. `ucje COtint,
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Other
PROPOSED IlV(MOV,EMENT LOCATION.' -
Address: 9675 Range Line Road, Port St. Lucie, FL 34987
Legal Description: See attached warranty deed.
Property Tax ID #: 4201-113-0001-020-914201-113-0001-010-6
Site Plan Name: Liberty Tire Recycling
Project Name: Liberty Tire Recycling
Setbacks Front50 Back:40 Right Side:30
-Left Side: 30
Construction of Pipe Rack Bridge System between Buildings 4 & 6
Lot No.
Block No.
CONSTRUCTiON-1NFOkMAT,ION:-
� li
ona wor to 2p2 orme un ert ispermit-checka appy:
HVAC
Gas Tank ❑Gas Piping
_Shutters
❑Windows/Doors
Electric
0 Plumbing Sprinklers
Generator
Roof
Total Sq. Ft of Construction:y
S Ft. of First Floor:
Cost of Construction:$
/
�V._J�iO oi>-- -- Utilities
Sewer
-Building Height:--- --
01NN€R/LESSEE: _.'.
`CONTRACTOR:
Name Liberty Tire Recycling, LLC
Name. Jo.NN CA6j�-
Address:1251 Waterfront Place, Suite 400
Company: Design Concrete and Masonary LLC
City: Pittsburg State: FL
Zip Code: 15222-4261 Fax:
Phone No.772-465-0477
Address: 1606 SE Village Green Drive
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772-233-9049
E-Mail: kbloomer@libertytire.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: designconcreteandmasonry@gmail.com
State or County License: 20972
If val a of construction is $2500 or more,
a RECORDED Notice of Commencement is required.
�7Ptfit/�•/�L'%'Q.L/6�_aQ7''/T%r',E. ii7iYl
UESIGNER/ENGINEER: x Not Applicable
Name: Florida Engineering and Design, Inc.
Address:255 County Road 555 South
City: Bartow State: FL
Zip: 33830-7702 Phone: 863-665-6363
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
St. Lucie Count yy 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
Signature of Owner/ Agent/ Lessee nature of Contractor/License Holder
COUNTY OFORIDA-b-r ��� COUNTY OFORIDASTATE OF ST(daLAG
Theilfq�gping ins m t wa acl owledged before me
this `'t�day of f 20 15by
(Name of person acknowledging )
01�L 0 a4Lk-
Commission No.
Revised 07/15/2014
STATE OFF
Comm# EE1
Expires 312
The for oing instr en was ackrKwledged before me
thisday of .20 15 by
Jdt-�►� CHIC..
IN a of person acknowledg
ing)
Q
(Signature of Notary Public -State of Florida )-
mission No. ET --
STATE OF FLORA:
'Comm* EE182808
Expires 312712011
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
��
INITIALS