HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
12/27/2018 SCANNED
Date: Permit Number:
BY
St. Lucie County
Building Permit Application
Planning and Development Services RECEIVED
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 JEC 27 7018
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
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PERMIT APPLICATION FOR: Buildingst 1e
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Address: 3191 Jet Center Terrace Fort Pierce, FL 34946
Legal Description:
Property Tax ID #: 1429-111-0001-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Treasure Coast International Airport MRO Hanger
Setbacks Front Back: Right Side: Left Side:
C)EAtt�UESCR[Ta(�I�LQ�WORK �:_�
200,000 gallon water storage tank to service fire protection system of MRO hanger.
CONSTRt1CTCON INFORMATCON `gym pw �a
Additionalwor to e e orme under-thispermit—c ec a apply:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
❑✓— Electric ✓❑_ Plumbing []Sprinklers Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: SC F�Ftt.� of First Floor:
Cost of Construction: $ DSO, co o Utilities: Sewer ❑Septic Building Height:
QU�lNER/L`E SEE. «m
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Name Jeremiah Johnson
Name:
Address:2300 Virginia Ave
Company:
City: Fort Pierce State: FL
Address:
City: State:_
Zip Code: 34982 Fax:
Phone No.772-462-1100
Zip Code: Fax:
E-Mail: Beaulieus@stlucieco.org
Phone No.
Fill in fee simple Title Holder on next page (if different
E-Mail:
State or County License:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
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 to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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Signature of Own / Lessee/Contddctor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF c&r LuG Y
COUNTY OF
The forgoing inst_r�ent was acknowledged before me
The forgoing instrument was acknowledged before me
this _Vday of 1.XC•[m bo0K , 20)9 by
this _ day of . 20_ by
lz_'K -emr4At kJollK.00-,_
Name of person raking statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Not
- I r'
(Signature of Notary Public- State of Florida )
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Commission No.
Commission No. (Seal)
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r �j
Date: 12/27/2018 Permit Number:
Building Permit Application
Planning and Development Services RECENED
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 DEC 2 7 7010
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential _�
PERMIT APPLICATION FOR: Building I
Address: 3191 Jet Center Terrace Fort Pierce, FL 34946
Legal Description:
Property Tax ID #: 1429-111-0001-000-8
Site Plan Name:
200,000 gallon water storage tank to service fire protection system of MRO hanger.
HVAC I _I Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $. 54, oQ-
Lot No.
Block No.
3as Piping ❑_Shutters ❑ Windows/Doors
Sprinklers ❑Generator ❑Roof ❑ Roof pitch
S�FFtt. of First Floor: _
Utilities: LJ Sewer ❑ Septic
Building Height:
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Name Jeremiah Johnson
Name:
Address:2300 Virginia Ave
Company:
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.772-462-1100
Address:
City: State:_
Zip Code: Fax:
Phone No.
E-Mail: Beaulieus@s0ucieco.org
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.