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HomeMy WebLinkAboutBUILDING PERMTI APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APP,LIIeTION TO BE ACCEPTED J Date: �� �� S�ANNE[Yermit Number: —in rl • OS ({ St. Lucie County 'ii I-' Building Permit Application AUG ? 2 N? Planning and Development Services ❑FP: , D_ri tdG Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982' Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential 11 PERMIT APPLICATION FOR: Concrete PROPOSED`iMPROVEMENTLOCATION: Address: 9675 Range Line Road, Port St. Lucie, FL 34987 Legal Description: See attached warranty deed. Property Tax ID #: 4201-113-0001-020-9 & 4201-113-0001-010-6 Lot No. Site Plan Name: Liberty Tire Recycling Block No. Project Name: Liberty Tire Recycling Setbacks Front50 Back: 40 Right Side: 30 Left Side: 30 Pour foundation for proposed bag house. CONSTRMATIONU�7R ; Additionalworktoe e orme under is permit —c ec ❑1:1 ❑Gas a I I apply: ❑ HVAC Gas Tank Piping _ Shutters Windows/Doors ❑ Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof Total Sq. Ft of Construction: oq 12,462 S Ft. of First Floor: NA ❑Septic NA Cost of Construction: $ utilities.. Sewer Building Height: OWNER%LESSEEt; - GONTRrXCTOR.; Name Liberty Tire Recycling Name: Kevin Cook Address: 1251 Waterfront Place, Suite 400 Company: Design Concrete and Masonry, LLC City: Pittsburg State: PA Zip Code: 15222-4261 Fax: Phone No' 772-465-0477 Address: 1606 S.E. Village Green Drive City: Port St. Lucie State: FL Zip Code: 34952 Fax: Phone No. 772-335-7915 E-Mail: kbloomer@libertytire.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: designconcreteandmasonry@gmail.com State or County License: PSL14-4088 4a"9 Q69 �2 If value of construction is $2500 or more, a RECURUEo Notice or Lommencemenc is regwrea. a'.+�, a t'=� ' r«-.ate^° � :r a -x;a wz � �a�k x.^. SUPPEE 31TAC@STRUGl1 I1lrL1ElU LA'NP©RMACIDIU tE �.t 'tan s" • ;�, at � r a'n'�'P�:" 4�, m DESIGNER/ENGINEER: Name: Flonda Engineenng and Design, Inc. Not Applicable MORTGAGE COMPANY: Name: x Not Applicable Add resS: 255 County Road 555 South Address: City: Badow State: FL Zip: 33830 Phone: 863-665-6363 City: Zip: Phone: State: FL FEE SIMPLE TITLE HOLDER: Name: x 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 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. _ Sig6dture of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF The forgping instrument was acknowledged before me thisdayof%4w--rr 2011by �o C-= [Ltv ( v� 6X be— (Nam�n acknowledging) (Signature of Notary Public -State of Florida 1 Personally Known OR Produced Identification Type of Identification Produced _ cftm-Rka NOTARY PUBLIC Commission No- S 1$TATEOFFLORID _ Cam* FF9736" Revised 07/ 15/2014 Sig t Contractor/License Holder STATE OF FLORIDA COUNTY OF The for oing instrument was acknowledged before me this o day of ST , 20 0 by (Name o�cknowledging 1 (Signature of Notary Public -State of Florida 1 Personally Known OR Produced Identification Type of Identification Produced W4000Y (BLFC Commission NoT� G��� �Q `CJ /j OF FLOW Con.. FF273M REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE ` INITIALS