HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: 8/10/2018 Permit Number: \� 01 0 1 x
SCANNED RECEIVED
BY
' St. Luce Co n AUG 167918
Building Permit Xpplication
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Concrete
Address: 9675 Range Line Road, Port St. Lucie, FL 34987
Legal Description: See attached Exhibit A- Legal Description
Property Tax ID #: 4201-113-0001-020-9 & 4201 -1 1-010-6 Lot No.
Site Plan Name: Liberty Tire Recycling
Project Name: Liberty Tire Recycling
Setbacks Front 50 Back: 40 Right Side: 30
Pour foundation for proposed bag house.
B6-z `—
�HVAC U Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 563
Cost of Construction: $ 13,562
Piping
Block No.
Left Side: 30
V-0LY4Q,GVrN 04
blv- cQ,c5e UgD,l �
Shutters ❑ Windows/Doors
Generator EIRoof
S Ft. of First Floor: NA
Utilities: Sewer 11 Septic
Building Height: NA
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E. 1011, 0 MOOR.
Name Liberty Tire Recycling
Name: Kevin Cook
Address:600 River Avenue 3rd Floor
Company: Design Concrete and Masonry, LLC
City: Pittsburg State: PA
Zip Code: 15212 Fax:
Phone No. 772-465-0477
Address: 1606 S.E._Villa_ge 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 / 20969
IIIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. i 1
SUaPLIEKIENiT�A'LJIC-(DN-SiTIR
I.O'.NILIIENILFIJLN
O MATION:
DESIGNER/ENGINEER:
Name: Florida Engineering and Design, Inc.
_ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 255 county Road 666 South
Address:
City: Bartow State: FL
Zip: 33830 Phone: 863-6666363
City: State: FL
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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
commencing work or recording vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA St LkL�e
COUNTY OF
The for oing instrument was acknowledged before me
thislg dayof iti�wS—C 201b—by
ILeA ., 31 Do II'+"d4L
(Name acknowledgingofl!" �
(Signature of Notary Pubic- State
Personally Known V OR Produced
Type of Identification Produced Ak
Commission No. Tr 4-13$
Revised 07/15/2014
(J
c. S
Si at a of Contractor/License Holder
STATE OF FLORIDA '
COUNTY OF s'T LL'C %'e_.
The for oing instrument was acknowledged before me
this 15day of AMIC�4 b—t 20 lqa_ by
�pµ.J VC . Goo K
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
No. f—F4 (—C) Mwna
REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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REVIE
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INITIALS
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