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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 9 %L� Date: P rmit Number: l / 0 Dl ' O6�/ / LANNED © St Cucie CO U RI cEn►Eo Building Permit ApplicatioRty JAN 2 2M Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X_ Residential PERMIT APPLICATION FOR Irrigation Address: 3214 Avenue D Ft Pierce, FL Legal Description: See attachment Property Tax ID #: 2408-211-0001-000-3 Lot No. Site Plan Name: Family Dollar (Angle Rd & Ave D) Block No. Project Name: Family Dollar (Angle Rd & Ave D) Setbacks Front 25 Back: 20 Right Side: 20 Left Side: 10 Irrigation System for Commercial Retail Building to be used as a Family Dollar store. 11HVAC LJ Gas Tank Electric 0 Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ 15,000.00 Piping LJShutters Windows/Doors nklers 11 Generator D Roof = Roof pitch S�Ft. of First Floor: Utilities: L`� ISewer Oseptic Building Height: 7 —N ER Address: 3214 Avenue D Ft Pierce, FL Legal Description: See attachment Property Tax ID #: 2408-211-0001-000-3 Lot No. Site Plan Name: Family Dollar (Angle Rd & Ave D) Block No. Project Name: Family Dollar (Angle Rd & Ave D) Setbacks Front 25 Back: 20 Right Side: 20 Left Side: 10 Irrigation System for Commercial Retail Building to be used as a Family Dollar store. 11HVAC LJ Gas Tank Electric 0 Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ 15,000.00 Piping LJShutters Windows/Doors nklers 11 Generator D Roof = Roof pitch S�Ft. of First Floor: Utilities: L`� ISewer Oseptic Building Height: 7 —N ER L' SSEE , 3 Ct3 f IiA TOR ; :m' X• ' � Name SB Fort Pierce Angle Road Fos LLC Name: Address:605 Delaney Ave Company: ` S City: Orlando State: FL Zip Code: 32801 Fax: Phone No.407-286-2610 1 Addres • 3� City: Zip Code:?ly` Fax: Phone No. E-Mail: cstephens@stephensbarrios.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: lei State or County License: 2 q If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIE1V LAW INFORMATION: D E5IGNER/EN6INEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: CARLOS BARRIOS Name: Address: 6D5 Delaney Ave Suite C Address: City: Orlando State: FL City: State: Zip: 32801 Phoneao7-266-2610 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Address: Zip: _Not Applicable 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 to obtain financing, consult with lender or an attorney before commencing work or recording vouAotice of Commencement. i Signa wn r/ Lessee0 ontractor as Agent for Owner Signatur' ntractor/License Holder STATE OF FLORIDA <j_ I LtC, STATE OF FLORIDA rJf t_ucl COUNTY OF COUNTY OF . The forgoing instrument was acknowledged before me this Z7 day of SODA 20L? by The forgoing instrument was acknowledged before me this $5 day of Sank 20L by ,l X Name of person making statement Name of person making statement Personally Known OR Produced Identification Type of Identification Personally Known X OR Produced Identific Type of Identification" ;r ' Produced Producedi�;;, ignature of Notary Publi a �� dA1CCE NffO�PER atur f Notary Public- State lorida) d�4 + 81D51'', r1'Peblk'B+belFlr Commission No. Ff410 t ' issionNo. FF9g(D5J (Seal) - mmisUon*/ FF 9810 1 r+Iy Comm. Expires Apr 20, ' � "'^•nnoAN REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE COUNTER REVIEW REVIEW REVIEW 1\ REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17