HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ' / / SCANNED Permit Number./6 D-3'd/��
BY
`s St. Lucie County
Building Permit Application RECEIVED
Planning and Development Services ��p
Building and Code Regulation Division MM — 7 2016
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Other Ill
Address: 5720 Environment Dr. Fort Pierce, FL 34982
Legal Description: Packers of Indian River Replat One (PB 45-7) Lot 2B (9.22AC) (OR2150-771)
Property Tax ID N: 3301-501-0003-00012
Site Plan Name: Odonell Site
Project Name: Install Rail Car A -Frame Shaker
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 2B
Block No.
Form and pour concrete foundations for -Shaker A -Frame (4) 4' x 4' x 4'. Install Shaker A- Frame
with Winch and Shaker. Connect electrical to Shaker A -Frame motor.
CONSTRUCTION INFORMATION:
itiona wor to e e orme under
OHVAC UGasTank
t—checkispermit
❑Gas Piping
a
apply:
_Shutters
❑Windows/Doors
Electric 11 Plumbing
❑Sprinklers
1:1Generator
Roof
Total Sq. Ft of Construction: 400SF
S .
Ft. of First Floor:
Cost of Construction: $ 48,619.00
UtilitiesSewer
0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ryan Mahoney
Name: Harold E. Kersey
Address:1501 Belvedere Road
Company: MS Industrial
City: West Palm Beach State: FL
Zip Code: 33406 Fax: 918-401-2142
Phone No.561-820-8314
Address.. 2730 Mine and Mill Rd.
City: Lakeland State: FL
Zip Code: 33801 Fax: 863-667-1103
Phone No. 863-665-6233
E-Mail: ryan.mahoney@cemex.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: hkersey@midstatefl.com
State or County License: CGC 1507438
If value of construction is $2500 or more, a R CORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: l/iG�a�/�8�.
_ Not Applicable
son d9£
MORTGAGE COMPANY:
Name:
�d Not Applicable
Address: 9,v7 sti „dog,
an
Address:
City: 1,okP /e.,d
Zip: fI'ST99 Phone:
Stater_
463-$>3r95�1i
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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 erty Notice of Commencement must be recor and posted on the jobsite
before the first�inspe ion. f ygi/ntend to obtain financing, consult with Ilia attorney before
STATE OF L
COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _� day of 20 t& by this 19 i4day of Ma Wh 20 l b by
1 "1' 0- &Mgs /f 1, e--
(Name of person acknowledging) I (Name of person acknowledging)
M
(Signature of Notary Public- State of Florida )
Personally Known I"_�OR Produced Identification
Type of Identification Produ#Ad - - - - -
Commission No.
Revised 07/15/2014
WILMA E MORRIS
wry Public - State of I
My Comm. EaPkes May 21
1I AOmn .�_ M W A EA
(Signature of Notary
,Public-
�State of Flofl ad )
Personally Known ✓ OR Produced Identification
Tvoe of Identf'irKI- _ - _ _
wiLM" MQ(ig�
PleterrPub0e -SIa}e pf �onca
My Comm. Expkes May 20. 2018
REVIEWS
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REVIEW
REVIEW
DATE
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