HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2,2, D
Date; —+W42=44- I i Permit Number:
SCANNED
BY
St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services DEC 11 Z018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permittir
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: Demolition III
PROPOSED IMPROVEMENT LOCATION: .:I III
Address: 9875 Range Line Road, Port St Lucie, FL 34987
Legal Description: See attached Exhibit A -Legal Description
Property Tax ID #: 4201-113-0001-020-9 & 4201-113-0001-010-6 Lot No.
Site Plan Name: Liberty Tire Recycling Block No.
Project Name: Liberty Tire Recycling Bldg I Demo
Setbacks Front 50 Back: 40 Right Side: 30 Left Side: 30
I DETAILED -DESCRIPTION OF WORK: - - III
Demolition of old storage rooms and offices Ttrie- I
CONSTRUCTION INFORMATION:
Additionalworl(TObe errormect unclerthispermi -checkall apply:
[:]Hv EnGasTank []Gas Piping Shutters []Windows/Doors
11 Electric El Plumbing []Sprinklers Generator 11 Roof = Roof pitch
Total Sq. Ft of Construction: -
Cost of Construction:$ 2,250
S Ft of First Floor;
Utilities'll Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Liberty Tire Recycling
Name: VL-(�,A>i 1-� %,A
Address:- 600 River Avenue, 3rd Floor
Company:
City: Pittsburgh State: PA
Zip Code: 15212 Fax:
Phone No. 772-465-0477
E-Mail: kbloomer@liberbtre.com
Address: %.,k 157
City: State: i-L-
Zip Code: 1'D-P-0 Fax:
PhoneNo.
Fill in fee simple Title Holder an next page I if different
from the Owner listed above)
E-Mail: 'TZOJ L(0'7 P_ '7W00Q. cO
State or County License: C-0 'i'l
It value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SU
DESIGNER/ENGINEER: x Not Applicable
Name- MORTGAGE COMPANY: -X— Not Applicable
Address: Name: —
Address:
City: State: City: ate:
ZIP: Phone Zip: — Phone:
FEE SIMPLE TITLE HOLDER: -X— Not Applicable
Name:
Address:
city: —
Zip: — Phone:—
.1 � . --- - --
BONDING COMPANY: X-Not Applicable
Address:
city:
Zip: _ Phone:
'.' "'W" .... �FyJ1LdUU" is neFeDymeae to ornam a permit to do the work and installation as indicated.
I certify thit no work or Installation has commenced prior to the Issuance of a permit.
St.LucieCo n makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conWict with any applicable Home Owners Association rules, bylaws or an9covenants 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 concurrencV 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 your Notiep nf rnmmonromant
.....................
Signature of Owner/ LeSSee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORWA
STATE OF FLORIDA
COUNTY OF C kn�w._
COUNTY OF-<:h:.,�..
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 2--t day of L-
.b_�eWAV,ef- 20& by
4 kkArnem-" Yi
this -:LL day of ja�,6�, 20iJr'by
Name bf person making statement
Na4 of Aerson-making statement
Personally Known_ OR Produced Identification
Personally Known —OR Produced Identification
Type of Identification
Type of Identification
Produced. F, 0 (-
Produced (' Et-
%J111111111
T
(Signature of Notary Public- State Flori -VAR),
ft-iPf4reZMotary PuSlic- Statd--of Flo
Commission No.4�ka�-Oz-
mmt ionNo -Of-lvsz�z (SejMy Comm EXPIrE
&-pmmt.�;ion No 6
My Comm. ExpIr
4 202S
August 4, 2020
No. GG i
Au gust
REVIEWS
FRONT
ZONIN& UFF
VEGETATION
SEATUR
P
13
COUNTER
F EVIEW fEw
W
REVIEW
REW
F."A.
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17