HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/7/18 SCANrNED permit Number:
Ki-_ St. Lucie County
• RECENED
Building Permit Application MAY 019 2010
Planning and Development Services
Building and Code Regulation Division permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Gas piping
PROPOSED IMPROVEMENT LOCATION:
Address: 4551 St Lucie Blvd. , Ft Pierce, FL
Legal Description: 31 34 40 NW 1/4 of NE 1/4 Less Rd and Canal and Less N 50ft for Addn R/W as in or 3265-1974 (36.34
AC) (or 3981-2141)
Property Tax ID #: 1431-120-0000-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Maverick Boats assembly plant
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: I
install natural gas piping from meter to 4 gas fired air handlers on roof of new building
I CONSTRUCTION INFORMATION: I
onaiworKcooe
HVAC
Electric
errormeu unuermispermit
Gas Tank ZGas
Plumbing []Sprinklers
— cneCKau apply:
Pip ing _Shutters ❑Windows/Doors
Generator E Roof = Roof pitch
El
Total Sq. Ft of Construction: _
Cost of Construction: $ 9599.00
S Ft. of First Floor:
Utilities:�SeweroSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Maverick Boat Group Inc
Name: Brian Critoph
Address: 3207 Industrial 29th St
Company: C and C Diversified Services
City: Ft Pierce State: FL
Zip Code: 34946 Fax:
Phone No.
Address: 7954 SW Jack James or
City: Stuart State: FL
Zip Code: 34997 Fax: 772-266-4679
Phone No. 772-266-4680
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: info@ccdiversifiedgas.com
State or County License: 21079 state / 23598 county
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State: _
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name'
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work orinstallation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting apermit will authorize the ermit holderto build the subject structure
which is In conflict with any applicable Home Owners Association rules, bylaws or aUcovenants 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 ail 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 recordisio your Notice of Commencement.
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Signature of Owner/Ldew/ftw6ror as Agentfor Owner
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Signature'of Contracor/License Holder
STATE OF FLORIDA
COUNTY OF Sh (- r_(
STATE OF FLORIDA� 1r
COUNTY OF —
The for ring instrument was acknowledged before me
The
this day of �.� . 20 I +by
The forgoing instrument was acknowledged b-gFore me
this -2 day of,��r.� ,20 /by
(Name of person acknowledging)
(Name of per on acknowledging)
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(Signature f Notary Public- State of FI rida )
Personally Known ✓ OR Produced Identification _
Type of Identification Produced
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l�Public- State of Florida )
(Personally Known 1/ OR Produced Identification
Type of Identification Produced
Commission No. 0 0 ( 1 (Seal)
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Commission No. if/ 7 �. v'ryfrf; ea_AMyd6WWPA0Gf97s07d
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Revised 07/15/2014
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of , 20 _by
Signature of Contrac or/License Holder
STATE OF FLORIDA
COUNTY OF///d/' r/7
The forgoing instrument was acknowledged b fore me
this day of, i%Cc�/ 20by
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Identification
(Seal)
re of Notary Public- Stat€'of Florida )
Personally Known (/ OR Produced Identification
Type of Identification Produced
Commission No.
FFS 078
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS