HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL -APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� [�
Date:... SCANNED permit Number: I A! J — 01 r �
St. Lucie County RECEIVED
•
-. - --
- - Building Permit Application APR. 06 101R
Planning and Development Services Permitting Department
Bw7ding and Code Regulation Division tG Lucie County
2300.VirginiaAvenue. Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (j72) 462-1578 Commercial xx Residential
PERMIT APPLICATION FOR: Other
I'FKL)F.UJtU;`IIVINKVJVIriVlLN I LL)LAIIUN4I I I il III
Address: 31.10 C leander Ave..Ft Pierce, FL34982
Legal Description: Maravilla Gardens SID-Unit Three -.From NW Car Lot150.Run E 10 ft, Th S 200
ft Th E 150 ft-Th- N 120ft, Th W 150 it to POB,(OR 226-2313)
Property Tax ID #: 2427-601-0004-000-0
Siie Plan Name:. Environmental Remediation System FDEP F
Project Name: 7-11 Food Store # 16389:31
Setbacks Front Back: Right Side:
Left Side:
Cant
Lot No.
Block No.
DETAILED DESCRIPTION' OF WORK; a
Installation of environmental remediation system. Includes installation of sparge and vent wells,
underground process piping, remedial systerri trailer, with separate electrical service.
I CONSTRUCTION INFORIVIATIONa 111
L JHVAC L-J Gas Tank , UGa:
Electric 1:1Plumbing []Spi
Total Sq. Ft of Construction: 360 sf
Cost of Construction; $ 27,900
lingShutters, ❑'Windows/Doors
ers 0 Generator Roof Roof pitch
Sq. Ft. of.First Floor:
El UtllitiesiSewerOSeptic Building Height:
OWNER/Q.
CONTRACTOR-'
Name-TOx and Properties Carp .
Name: Mike Bishop -
Address' POBox 4900
Company: GHD'Services, Inc.
City: Scottsdale Stater_
Zip Code: 85261 Fax:
Phone No.
Address: 6904 Hampton,0aks Pkwy, Ste F
City Tampa State: FL
Zip. Code: 33610 Fax:
Phone No. 813-257 0707
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: mike.bishop@ghd.com
State or.County License: CGCO61530
If value of construction is $2500,or more, a RECORDED Notice of Commencement is required.
WARP,
ON M
DESIGNER/ENGINEER: _ Not Applicable
Name: aa mmartiPE
MORTGAGE COMPANY: Not Applicable
Name:
Address: 59(9 ilamptmi Oaks ParkWay, auit° F
Address:
City: Tampa State: FL
Zip: 33610 Phone ata-zsr-eael
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 he first inspection. If you intend to obtain financing, consult with lender or an attorney before
com en Writ? work or recerdine vour Notice of Commencement.
Signat r/ Lessee/Contractor as Agent for Owner
Signatur o ractyF/L tense Hol' der
V le
STATE OF f69IBPc
STATE OF FLORID l I
COUNTY OF �l1�QS
COUNTY OFj/S'/�(J%d[ti%`
The fo,�go�.nginstrru�nentwa�sacknowledgedbeforeme
this =l May of IVIQY Ch 20 �8 by
Thefo�pinginstru twa5ac nowledge�{4eforeme
this S may of 2f�V by
�%r�-fit s ��
Name of peUrs9p making statement
Name of per --making statement
Personally Known w, OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced --
� �r`nr cya,, CAROL PI
�
:'+°e .`p: Notary Public - Sta
(Signature of Notary Pu 1,1 f; ,• Pubiie, State of Texas
gna Lure of Notary Public- Stat , ` My Comm. Expires h
''••9AAb"`
,,�r�. rA: . Expires 12-5-202o
Commission NO.�(JtJi -
Bonded through Nation
Commission No. Z J3
ryl(113092091.2
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
11 Florida
2019