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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