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
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9atlxdThuTmrFeFlnsPm�900d9N019
Revised 07/15/2014
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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