HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED F APPLICATION TO BE ACCEPTED ' `OU 1
Date: 9112/16 BY L 0
ED Permit Number: 1501-ZZ
St. Lucie Count,
SEw 1suf6
Building Permit Application IPubr,G Work
Planning and Development Services St. Lucle Gou rf F�
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: Mechanical
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Address: 10331 Lennard Rd., Port Saint Lucie, FL 34952
Legal Description:
Property Tax ID #: 3414-501-4702-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Family Dollar#10442
Setbacks Front Back: Right Side: Left Side:
rDETAILED�DESCRIPTION OF L1/ORIf
.�,�5 /i4�'o,✓ o VP1 doeh /,hc try. - (5) re r,. ,Ad �QfGJ
C�r�-h r-emor� �ar>dr-nr�s.
CONSTRUCTION INFORMATION: k_
E1HVAC LJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 8200.00
�e�um—wean au apply.
Sas Piping _Shutters Windows/Doors
Sprinklers 1:1Generator Roof Roof pitch
S Ft. of First Floor: _
Utilities: Sewer O Septic
Building Height:
OWNERJLESSEE` =" .:5
CONTRACTOR:'
Name 4
Name: Joseph E Matthews, III
Address:r" 1 3
it
Company: 5-Star Refrigeration & A/C, Inc
City: 1(�Ch O State:
Zip Code: 3 n Fa
Phone No. 44a� C0y aQ(0
Address: 23091 Cortez Blvd
City: Brooksville State: FL
Zip Code: 34601 - Fax: 352-389-5000
Phone No. 352-3454813 X 422
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: marlene.bowers65-starrefrigeration.com
State o Coun y License: Florida
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
LIEN=CA iV' ORMATIOCJ;
}
DESIGNER/ENGINEER:
Not Applicable
§e
_
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
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 Count yy 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 Commpncpmpnt.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of 20 _by
(Name of person acknowledging )
(Signature of Notary Public -State of Florida )
Personally Known _
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Identification
(Seal)
STATE OF FLORIDA
COUNTY OF 8emando
The forgoing instrument was acknowledged before me
this Ism dayof September 20 _by
E Matthews, III
of person acknowledging )
/IyGF/I r2
(Signilture of Notary AME of Florida J
Personally Known x OR Produced Identification
Type of Identification Produ ed
Commission No. #FF974882a +R t I�SSEBOWM
.: .�- SSIONOFF974882
EJPIRE9:July17,2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
{O
COMPLETE
/
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/12/16 SGANNEL, Permit Number 1 7
BY 7%b �. ba I
St. Lucie Countt
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: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 10331 Lennard Rd.; Port Saint Lucie, FL 34952
Legal Description:
Property Tax ID q: 3414-501-4702-000-7
Site Plan Name:
Project Name: Family Dollar 410442
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Ln/S�'1�9�0•✓ o f cf�, i%
Lot No.
Block No.
(5) rifi75odd �QfeJ
QiUCONSTRUCTION INFORMATION:
ona war to e errormea un ert ispermrt—c ec a apply:
E1HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers ❑ Generator Roof = Roof pitch
Total Sq. Ft of Construction:.
Cost of Construction: $ 8200.00
S Ft. of First Floor: _
Utilities: Sewer E Septic.
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: Joseph E Matthews, III
Address:
Company: 5-Star Refrigeration & A/C, Inc
City: State: _
Zip Code: Fax:
Phone No.
Address: 23091 Cortez Blvd
City: Brooksville State: FL
34601 352-389-5000
I Zip Code: Fax: I
Phone No. 352-345-4813 X 422
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: marlene.bowers@5-starrefrigeration.com
State or County License: Florida
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
m
SUPPLEMENTALCONSTRUCTION_LIEN"LAW INFORMATION:-
.,
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
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 Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflictwith 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
commenciniz work or recordinla vour Notice of Commencement.
rSi atur of Owner/ ssee/ ontra as Agent for Owner
TATE OF FLORIDA
COUNTY OF Hemando
The fo�rI instrument w acknowledged before me
this 1day of . 20 LG by
Joseph E Matthews, III
(Name
of
person acknowledging,L7I
(Signature of Notary Publi - State of Florida )
Personally Known x
Type of Identification
Commission No. #FF
Revised 07/15/2014
OR Produced Identification
E BOWERS
IONt FF 974M
EXPIREB:Juy t7.=
R
STATE OF FLORIDA
COUNTY OF Hemando
The forgoing instrument was acknowledged before me
this "" day of September 20 j (' by
Joseph E Matthews, III
(Name of person acknowledging)
gr�at�H'e of Notary Pu ic- State of Florida)
Personally Known x OR Produced Identification
Type of Identification Produced
NO, #FF974882
W COMMISSION 0 FF S74882
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE ,.
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS