HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q ^
L/✓ Date: 215/19 �unofl along l.g
Permit Number: �
C13NNVOS
-- Building Permit Applica ion RECEIVED
Planning and Development Services FEB 05 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Re
PERMITTYPE: Plumbing
.PR(OPOSED INPROVEMENT LOCATIONr
Address: 900 N. Rock Road Fort Pierce. FL 34945
Property Tax ID #: 2311-210-0000-000-6 Lot No.
Site Plan Name: Rock Road St. Lucie County Jail Block No.
Project Name: Rock Road Jail Emerged Water By -Pass Project
DETAILEDAESCRIPTION OF WORK:
Construction of an automated water by-pass system around the existing ground storage tank pumps and hydro-oneumatic tank
Installation of approsimately 140LF of 8-inch dutile iron Pipe with fittings and valves
CO NSTRUCTION.INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters -Windows/Doors
_ Electric —Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction:$ 38479-on
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEL -
CONTRACTOR...
Name St. Lucie County BOCC
Name:ZcLay
rQ
Address: 2300 Virginia Avenue
Company,pre 2 4.K@rWcl.�1 vyy .� tic .
City: Fort Piorm State: R
Zip Code: 34982 Fax:
Phone No. 772_4s2_„nn
Address: SLF3a li4 add
e n rWA izc .
City:a. Piuse.
Zip Code: 3414,T-
Phone No '71a- L�US-13I3
State:_FL�
Fax: Mg -gto$-101
E-Mail:
Fill In fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mail Ora-e_ DauA, bt
ll sokf i�. nti
State or County License
0,G0, 0lo `LC; ?0
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: Carter Associates. Inc.
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 170821st street
Address:
City: Vero Reach
Zip: 32oen Phone
State: FL
772-562-4191
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
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 commencedprior 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 f Owner/ Lesseaftontractor as Agent for Owner
Signature Contractor/License Holder
STATE OF FLORIDA
STATE OF FL RIDA
COUNTY OF 5r t. AQr
COUNTY OF LA-c,i e.
The forgoing Instrument was acknowledged before me
The forgoing instrtlmept was acknowledged before me
this _IT day of 6B2UAPT_ 20B_ by
this L"'day of h2lr_ r� 20 Iti by
�iEe MrAtf k JyfffLSoJ
c flAoora U
Name of person making statement.
Name o person making statement.
Personally Known --'OR Produced Identification
Personally Known K R r uced Identification
Type of Identification
Type of Identification _ .rrrp�e ELIZABETH ANN ALVARA
Produced
•
Produced otar Public Y State of Flo
. •5 Commission N SO 0305
My Comm. Expires Oct 20;_
KEL
` uJlr rt •fi onded thmu
(ig a re of Notary Public- t o 0
(Signature of Notary Pub ��, eq(Btmcioktijinf FF979475
". ds Expires April 6,2020
•'y.
Commission No.� c:°P'• SondeQSkMile rainimuranceebo•3&5
0�8 mmission No. �.I , r,
G 0305 •x—r (Seal)
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Rev.9/26/18