HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 51- vas XJ T7DSEEf1)19 2017 and fgrmit Number:NFE
BY As
St. Lucie County OANNVOS
Building Permit Application
Planning and Development Services — J
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 J
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
PROPOSED IMPROVEMENT LOCATION:
Address:,--
ddress: 82 CP C 0 1N0415T/?/46 40, 3 Xr/wFfG; Az 31,1944& Q/GtQ
7
Legal Description: Lots 12 & 13, Block 1, Airport Industrial Park unit 1, according to the plat thereof recorded in platbook 20, page 3 public records
of St Lucie County
Property Tax ID #: 1429-501-0116-000-4 & 1429- 000-1 Lot No. 12 & 13
Site Plan Name: Seacoast Curb Adaptors and Curbs Block No. 1
Project Name: Seacoast Curb Adaptors and Curbs
Setbacks Front 40' Back: 30' Right Side: 169.03' Left Side: 63.93'
I DETAILED DESCRIPTION OF WORK: I
New free standing manufacturing facility with administrative offices complete with all necessary site
and utility improvements.
CONSTRUCTION INFORMATION: I
✓❑_ HVAC u Gas Tank ❑Gas Piping
R S�'btcal4/LS.. Y• u y
Eledrif a3a03P1u izy9r'' •f aSprinklers
�r-iwH :o s7c12 Jdcu9 yrbfy,+ ,• � • ': ri
taY'Sc�!PVbKonstruetion;; 1a S Ft. of First Floor: same
rtSGG, vonntri0a? mmn;i l• �.= r 7
osP1of CbnstrudJon, $,?:y�Rib < q b It b 1- f Utilities: Sewer E] Septic
Shutters Windows/Doors
Generator W1 Roof .5 i Roof pitch
Building Height: 18'
OWNER/LESSEE:
C /CCTO >,;,a"^�"°�+►,a•
Name I�Lv: GYp55 GGC
FYtic 4
Nagte,;,,.,9U(�G%i5rtpi¢✓%
Address: 25 // A/ /A//J/4.✓?r05le 4p
C't'4ctf6n Corporation
%/°/ifPG; pl
City: State:_
Zip Code: 34946-1805 Fax:
Phone No. 772 466 2400
AdFlTess:-.�/�'�__.��.Jc.:.`/'8ro"•::.'�,
City: fT State: FI
Zip Code: 34954 Fax: 772 465 7665
Phone No. 772 461 8335
E-Mail: bradyjaxson@aol.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: ddavis@rkdavis.com
State or County License: CGCO13084
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE;CO,MPAA44
Name: G�✓raoe �7
_ Not Applicable
6441A,
Address:224Datum Streer,Suite 311
Address:, onl.;.o :'Ptuoff?
KO
City: State: r
Zip: 33401 Phonese,ezo8oea
City: f-r w f(%
Zip: 3LRL41 Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 tggobtain financing, consult with lender or an attorney before
comprretSc�ng work or recoWing your NWce of Commencement.
V
�7
Signatu a of Owner/ Le Contractor as Agent for Owner
Signature dF Contractor/License Holder
ST E OF FLORI
STATE OF FLORIDA
COUNTY OF
COUNTY OF .% Z&nI4
The for 99yiJg instrument was acknowledged before me
The for�$ing instrument was acknowledged before me
this�"day of ���i , 20/� by
this /�JYday of 204Z by
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Pe onally Known _ -
Typeo�f enTr1 tiflcation
Type ofldentificatio �o�����a,, .;.`ROG '
`w`''' Notify Public - SUti'o1 Flaride
Produced
Produced
isslon • GO'010740
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•' F yty Comm. Expires Nov 7.2020
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't p;° gpndadlhrouphNxOomlNotxrybM.
(S' ure of Notary Public- State of Florida )
(Sig a re of Not d PPIEST
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,ao+""'���.',, �pyy puppq_,$tGG o1 Flodds
Commission No. Ctxtdltfs GG 010710
Commission No. (Seal)
My Coiino: Expires Nov 1, 2020
°;,;A•" Bonded through National NotuyAssn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17 61 11 f