HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr'.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: December 16, 2014
Permit Number: 1q OM - Go3I
$u,LoItjrq P1�0mNAoEK:6V- 1562-027
APR 0 4 2016
Building Permit Application SCANNED
Planning and Development Services St. Lucie County
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: Building _ (�uMPSTq FNCI oSURF- • III
Address: 10331 Lennard Road, Port St Lucie, Florida 34952
Legal Description: See Legal Description attached.
Property Tax ID #: 3414-501-4702-0007
Site Plan Name: Family Dollar - Lennard Road
Project Name: Family Dollar - Lennard Road
Setbacks Front25' Back:20' Right Side: 10' LeftSide: 10'
Dumpster Enclosure
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Lot No. N/A
Block No. N/A
HUUI uu[ 1ai wuin w uc Pcnun ucu unuai LIM pcn Iui—LJicLn all apply.
E]HVAC _Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbinp Sprinklers Generator Roof
Total Sq.'Ft of Construction: O 'g • S Ft. of.First Floor:
Cost of Construction: / ,� Utilities:n Sewer 0Septic Building Height:
QWNER LESSEE . .
CONTRAGIO
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Name Hutton Team, LLC
Name: Robert Elliott
Address: 736 Cherry Street
Company: Hutton Construction
City: Chattanooga State:TN
Zip Code: 37402 Fax.423.756.7927
Phone No.423.771.4467
Address: 736 Cherry Street
City: Chattanooga State: TN
Zip Code: 37402 Fax: 423.756.7927
Phone No. 423.643.9220
E-Mail: Tod Bleckner (tbeckner@hutton.build)
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Robert Elliott (relliott@hutton.build)
State or County License: CBC1259118
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPt EMENT4L GQNSTRUCT)Q LIER1 LAV11 INFORIVI4'T[ON " .
"IMP
$ .:....
.,..
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable "
Name: Larry L. Christian, AIA, NCARB-Architect
Name:
Address: 3801 Kirby Drive, suite 600
Address:
City: Houston
State: Tx
City: State:
Zip: 77088 Phone: 713.664.7074x1306
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY: _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 contlict 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
commencine work or recordine vour Notice of Commencement.
Si ture of Owner/ Agent/ Lessee
STATE OF Axmi A
COUNTYOF�"VN✓
The fggrg� tng instr ent was acknowledged efore me
this �7�ayof (iY 1 20�by
-LLvc/P_5 Jolzwf r^q-Iv/
(Name of person acknowledging)
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(Signature bf Notary Public -"State of'Fferida )
�,�ruuuyi�i
Personally Known OR Produce,& dtion I,
Type of Identification Produced _`x) • """'•.ti 11
Signature o ontractor/Lic nse Holder
STATE OF P6GR116*
COUNTY OFFA/V�J�
The forgoing instru ntrOg �wacknowledge*ey re me
this /'da of 1'/1// 20 b
(Name of person acknowledging)
(Signature of Notary Public- State of f-lerida )
TA/ `%0%,st rur��10,I,
Personally Known >/ OR ProducejlltifjGatlgp•0�
Type of Identification Produced S_Ay '0, �•T_
Commission No. = .' (CI�2��� _ Commission No.
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Revised 07/15/2014%� ,••••,..• •ci` �•` 1•.�4'�,'••••••'•
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