HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�r� /�
Date: 3J 3 Permit Number: 1 `►0 J • 1 J� ��
RECEIVED MAR 312017
• Building P r(`jm��i Application lt;.unooalon�-IS
Planning and Development Services � "' " "� E� A8
Building and Code Regulation Division BY 9:3N NVSS
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Co�t�ty
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercla Residential
PERMIT APPLICATION FOR: Other III
PROPOSED IMPROVEMENT LOCATION: Ili
Address: 2925 Juanita Avenue, Fort Pierce, Florida 34946
Legal Description: A portion of the public land lying within the rights of way of Juanita Avenue & Essex Drive.
Property Tax ID #: 1432-802-0001-9999
Site Plan Name:
Project Name: Juanita Ave & Essex Dr Bus Shelter
Setbacks Front Back: Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
Construction of site infrastrucure to support the installation of a pre -fabricated bus shelter structure.
The scope included minor drainage modifications, sidewalks, curbs and slab construction. This project
also includes installation of the County supplied shelter structure.
CONSTRUCTION INFORMATION: 11
DHVAC Li Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 315
Cost of Construction: $ 40,777
Piping
❑_Shutters
❑Windows/Doors
nklers
0 Generator
0
Roof
=
Roof pitch
S Ft. of First Floor: 315
Utilities: Sewer 0 Septic
Building Height: 10'
OWNER/LESSEE:
CONTRACTOR:
Name St. Lucie County Community Services (David Engel)
Name: Tony Rake
Address:437 N. 7th Street
Company: Kerns Construction & Property Management, Inc.
Address: 2701 Industrial Avenue 2
City: Fort Pierce State: FL
Zip Code: 34950 Fax:
Phone No.772-462-5164 sgLtrlice0 •
City: Fort Pierce State: FL
Zip Code: 34946 Fax: 772-209-7700
Phone -882-8110
.
E_fn it n - .org
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: TRake@KernsConstruction.net
State.or County License: CGC 059365
If value of construction is 52500 or more, a RECORUEU Notice or Commencement is requireu.
I?SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
Name: Rudd Jones, P.E.&Associates. P.A.
Address: 7450 South Federal Highway
City: Port St. Lucie State: FL
Zip: 34952 Phone: 772-336-2933
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X
Name:
Not Applicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY: _Not
Name: Westem Surety Company
Applicable
Address: 333 S. Wabash Avenue, 41st Floor
City Chicago, Illinois
Zip: C10604 Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no
which is in conflict with an
structure. Please consult v
:e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
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
(zI- _ _
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORI, A
COUNTY OF 654 � t r i P
The fo going instru t was cknowledged fore me
this May of 20 L4by
(Name of person acknowle gi g )
of Vbtary Public- State of Florida
STATE OF FLORIDA
COUNTY OFs Nrwae
The forgoing instrument was acknowledged before me
this 23 day of MWWW-0t , 20 17 by
Chades D. Kems
(NameW person acknowledging )
P4rsonally Known t/ OR Produced Identification Personally Known
Type of Identifications Produced Type of Identificatt
Commission No. �Y� �rCommission No.I
NOTARYPUBLIC
State of Florida )
OR Produced Identification
ea JJLIE J. SUE
MY COMMISSION t
comfF12Baso 4or13�aor53 is OYbe Srvkawm
Revised 07/15/2014 E>�Ires SI26/2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REV] W
REVIEW
REVIEW
REVIEW
DATE
I2 I1
G
COMPLETE
INITIALS