HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONv� y
ALL APPLICABLE INFO rM�USST BE COMPLETED
FEER APPLICATION TO BE ACCEPTED t 2
Date,y2�4T/2 -L` 6' 3 j Permit Number: 1 J9
I SCANNED
' BY RECEIVED
St. Lucie CQun y
Building Permit ppllcation FEB 00 Z019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xxxx Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III PROPOSEb�'iMPRC)VEMENT L06ATiON ,.`
Address: 4780 Kings Hwy North Fort Pierce, FL 34951
Legal Description: 13 34 39 S 258 FT of N 278 FT OFE 291 FT of W 362 FT of NW 1/4 of SW 114 (1.72 AC)
Property Tax ID #: 1313-322-0002-000-7 Lot No.
Site Plan Name: N/A Block No.
Project Name: CVS Pharmacy # 5151 Stockroom Safety Upgrade
Setbacks Front Back: Right Side: Left Side:
`DETAILEOfl.' RIPTION''OFIIUORI
..,.
Safety upgrades to the EXISTING back Room - Remove existing Mezzanine & replace with new -
Replace existing Handrails & Guardrails - minor Electrical work relocating existing Fixtures
CONSTRUGTION.INFORNIATION;_ ,t
❑HVAC ❑ Gas Tank ❑Gas Piping ❑_ Shutters ❑ Windows/Doors
Z✓ Electric E Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: +/-1100 Sc Ft of First Floor: 10700
Cost of Construction: $ 80,000.09 Utilities: 2Sewer ❑ Septic Building Height:
OWNER/LESSEE;-
CONTRACTOR:
Name Ft. Pierce Properties LTD Go Larrymore Organization
Name Terry Lee Timm
Address: 6477 College Park Sq Ste 306
Company: Vision Contractors Inc
City: Virginia Beach State: VA
Zip Code: 23464 Fax:
Phone No. 757-222-9410
Address: 95 Old Dixie Hwy Ste B
City: Adairsville State: GA
Zip Code: 30103 Fax:
Phone No. 770-769-4674
E-Mail: bberger@larrymore.com (Bill Berger)
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: cammief@viscongc.com
State or County License: 4C1513111
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
31og6
i
SUPPLEMENTAL 'CONSTRUCTIONLiEN LAW IN
DESIG
Name:
ER/ENGI
ER:
Nqt Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
OO
Address:
City:
Zip: NMI Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
of 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 vArk or recording vouf Notice of Commencement.
Signature o wrier/ Lessee/font actor as Agent for Owner
Signature of Contractor/License Holder
COMMONWEALTH OF VIRGINIA
STATE OF MORMAG�a{g�4
CITY OF VIRGINIA BEACH
COUNTY OF
The for oing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this ay of ovember 2018 by
this I l day of T-clx %2011 by
7C C fL �i rVI Al
Name o perspn maki g statement
N me of person making statement
Personally Known OR Produced Identification
Personally Known _t OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary P t f F®BdNQ MARLN
nature of Notai
Public- fgepp ID�rtet dn3{vford
je otary Puh is-Re47037
NOTARY PUBLIC
Commission No. O Comm( Ithginia
Commission No.
BartowcNwal)
a„t,�CommissionFicpir31,2022
teofGeorgia
My Comm. Expires umber 13, 2022
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Rev.8/2/17