HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/5/16 SCANNED Permit Number: 1607-0157 Tow6r
BY j160�-� aft
St. Lucie County
•
Building Permit Application
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: To Select from dropbox, click arrow at the end of line III
PROPOSED IMPROVEMENT LOCATION: -
Address: 14191 Rangeline Road Port St Lucie FL 34987
Legal Description: ge-e.- QT`1TC01 _)0 Ow!A &_iL1 '0&/z
Property Tax ID #: 4233-111-0001-000/6
Site Plan Name:
Project Name: City West
Setbacks Front Back:
Right Side: Left Side:
Ne
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
installation of fence around new tower site
INFORMATION:
HVAC LJGas Tank
Electric El Plumbing
Total Sq. Ft of Constru';ctiio'n� 2
Cost of Construction: 5V V r, 7 t
Piping L jShutters
ors Generator
S Ft. of First Floor:
Utilities:'n Sewer E]Septic
Services
AUG 1.0 2016
Windows/Doors
Roof
Building Height:
OWNER/LESSEE
CONTRACTOR:
Name City of Port St Lucie
Name: Thomas J. Carrick
Address: 121 SW :Port St Lucie Blvd
Company: Carrick Contracting Corp
City: Port St Lucie State: FL
Zip Code: 34984 Fax:
Phone No.
Address: 1450 Kinetic Road
City: Lake Park State: FL
Zip Code: 33403 Fax: 561-844-5641
Phone No. 561-844-5322
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: kcarrick@car(ckcontracting.com
State or County License: CGCO55115
It value of construction is SZ500 or more, a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name; AmecFoster& Wheeler Environment &infrasiructureinc
MORTGAGE COMPANY:
Name:
X_ Not Applicable
AddresS; 1075 Big Shanty Road Suite 100
Address:
City: Kennesaw State; GA
Zip:30144 Phone: 77o-421-3400
City:
Zip: Phone:
State:
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 commenced prior to the issuance of a permit.
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
commencing work or recording vour Notice of Commencement. I
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STATE OF FLORIDA
COUNTY OF f-21- I f 1 C ,C_2
The fo�$oing instr ent was acknowledge before me
thisrdayof c�MS�. 20 �y
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(Name of person acknowledging)
of Notary
Personally Known
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Identification
Notary Public State of Florida
"na J Slay
My Commission FF 072078
Expires 1112=017
STATE OF FLORIDA
COUNTY
COUNTY OF FF''hh
The forgoing instrument was acknowledged before me
this lb day of 20 l(P by
'V\C)MO'S n. CAV.frc"L.
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(Name of p n acknowled- g I.......,.. JACLYNN E MCNEVIN
Nntary Public -State 01 Fit
�'• ' Commission N FF98022
"\r4_Z&A„C".�a :` My Comm. Expires Jul 30, I
igg atureofAtary Public- !Jate�t A_eiida9Qnded through National Notary
Illy Known 1/ OR Produced Identification
of Identification Produced
No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
RE IEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS