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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: 1509-0233 ° s r , .p_ .�, • BY RECEIVED St. Lucie Countv Building Permit Application SEP 18 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 X Residential PERMIT APPLICATION FOR: Other PROPOSED IMPROVEMENT LOCATION: Address: 9675 Range Line Road, fort St. Lucie, FL 34987 Legal Description: See attached warranty deed" Property Tax ID #: 4261-113-0001-020/9 and 4201-113-0001/-010/6 Lot No. Site Plan Name: Liberty Tire Recycling ' Block No. Project Name: •LibertyTire Recycling Setbacks Front 50 'Back: 40 Might Side: 30 Left Side: 30 DETAILED DESCRIPTION OF WORK: Installation of bag -house. SL1i.B1�V/5GF4 0086 • ° CONSTRUCTION•INFORMATION, . III DUVAC U Gas -Tank ❑Ga Electric El Plumbing ❑SI Total Sq. Ft of Construction: Cost of Construction: $ 23,360.00 s Piping "Shutters Irinklers Generator _S Ft of First Floor: _ Utilities: Sewer E]Septic Windows/Doo•rs Roof Building Height: -OWP}ER/LESSEE.'---P,- . ------ • - --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 HARTMANRD. City: FT. PIERCE State: FL Zip Code: 34947 . - Fax: (772) 461.4729 Phone No. 772-519-0167, (772) 461-5532 E-Mail: kbloomer@libertytire.com Fill in fee simple Title Holder an next page ( if different from the Ownei listed above) ° ° E.Mail: martyatdonwillemsbld@comcast.net State or County License: CGC1504958 If value.of construction is $ZS00 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X Not Applicable Nance: MBaapWLLC/Pneumal,LLC MORTGAGE COMPANY: X Not Applicable Name: Address: asoo Chesapeake Drive Address: City: cnaaove State: NC Zip:2e2T8 Phone:704-99&-26m City: State: FL Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: X 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 Counter 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. s _ Signature of Owner/ Lessee/Agent Signature of Contractor/LicenseHolder STATE OF FL O A COUNTY OF STATE OF jor l� �` l�� COUNTYOF 5't Ll, The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this dayof2�� 20Eby G� t 4l.�la this dayof SAP. K 20_k_V by C���(``113 14'P (Name of person acknnoowled%ginger) (Name of person acknowledging) (Signature f�lotary Public- State of Florida) (Signature of Notary Public- State of Florida ) e-P Fsonally'fin`own'�i—OR Produced dent�cabon -Personally KnowA/ UR•Producedddentification— Type of identification Produced Type of Identificati y:y•.., J.L RIDGES Commission No. ;g'_ CoElk3n#F�634731 • "ti.rr, J.L. Commission No. g' Commission#FEf731 2016 gs. Expires September 13, 2016 'c?� •oC• piresSepte .° �Thm7m M k,vve 8030S7019 °3;pd h+ 9atlxdThuTmrFeFlnsPm�900d9N019 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE Q INITIALS ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q Date: Permit Number:' 54 I� 0 K 3 .-. R'ECER"T SEP 1410B SC B ED Building Permit Application St, Lucie County Planning and Development Services e - 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 IMPROVEMENT-LOCATIO& Address: 9675,Range Line Road, Port St. Lucie, FL 34987 Legal Description: See attached warranty deed. Property Tax ID #: 4201-113-0001-020/9•ai Site Plan Name: Liberty Tire Recycling Project Name: Liberty Tire Recycling Setbacks Front50 Back: 40 DETAILED DESCRIPTION OF WOR Installation 6f bag house CONSTRUCTION INFORMATION: Additional work to e e orm under ❑HVAC Ei GasTank ❑Electric ❑Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 23,360.00 4201-113-0001/-010/6* Right Side: 30 -, Left Side: 30 mt- ciec-a appy: Piping _Shutters nklers ❑ Generator _ S Ft of of First Floor: Utilities: —Sewer Lot No. Block No. ❑ Windows/Doors ❑ Roof Building Height:. Fw—NER/LESSEE: — — CON.T.RACT-OR- Name Liberty Tire Recycling,-LLC -- - - - Name: Jason Lee Nobles - - - Address: 1251 Waterfront Place, Suite 400 Company: South org Mairmianse City: Pittsburgh State: PA Zip Code: 15222-4261 r Fax: Phone No.772-465-0477 Address: 934 Bi re Street City: P rt Saint Lucie State:_ Zip Code: 34983 Fax: 772-777-3218. Phone No. 772-777-3218 E-Mail: kbloomer@libertytire.com Fill in fee simple Title Holder on next page (if7lifferent from the Owngr listed above) E-Mail: brOdcurrl i eAe State or Cbunty License: 7344-2996000'2 ._ i nP, O If value of construction is $2500 Sr more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL.CONSTRUCTION LIEN LAW.)NFORMATION: DESIGNER/ENGINEER: x_ Not Applicable Name: MIkrcpu1LLC / PneVmaI, LLC MORTGAGE COMPANY: Name: X Not Applicable Address: 4500 Chesapeake Drive Address: City: Charlotte State: NC Zip:28216 Phone:704-s98-2600 City: Zip: Phone: $tate: FL FEE SIMPLE TITLE HOLDER: X Not Applicable Name: BONDING COMPANY: Name: X Not Applicable Address: • Address: - City: - City: Zip: Phone: - Zip: Phone: I certify that no work or installation has commence prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the ermit 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 abply. Inconsideration 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 Owner/ Lessee/Agent STATE OF FLORIDA STATE OFF LORIDA COUNTYOF LS+�LI-2 • COUNTY OF Sf. L'Id915- The fo oing instrument was acknowledg@d fore me The for i gins trument was a kno fledged be ore me thistday of '2 A 201�by this May of i i- 20 �by 1d r;-a►cx�t� - TQso'.v Lei Aio f 1 F-s ' (Name f person ackno .giing j (Name of person acknowledging ) Al A-tA (Signature of Notary Publi State of Florida) (Signature of Notary Public- State of Florida ) ecsonally-Know�OR•Producedddentification-- --- - ersonally cedl e�S $catio _ �- Typeof Identification -Produced ' _ _ _Type of Identification Produced Z f NOTARY PUBLIC �� /Bg306 Commission No. �-� 1�-(SAaI STATE OF FLORI Rommission No. (Seal) ;Comm#EE182 - s a 77PATRICIASES7A EXPIRES: August 11, 2016 Revised07/IS/2014 • a, ,.••' BwWedthruNdMPub5cundemlM1ers REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE ( lS INITIALS 1i