HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST RE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
e+s 3( \MA SCANNED Permit Number:
BY RECEIVED
St. Lucie County
• Building Permit Application MAR 12 2019
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone; (772) 462-1553 Fax: (772) 462-1579 Commercial X
ST. Lucie Goun€Vh Perini€€Inq
Residential
PERMIT APPLICATION FOR: Renovation Ili
_ oRnoncFn<i nADRnVFIUtFNT I nrATinN:.
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 & 4201-113-0001-010-6
Lot No.
Site Plan Name: Liberty Tire Recycling Block No.
Project Name: Liberty Tire Recycling Bldg 1 Demo
Setbacks Front 50 Back: 40 Right Side: 30 Left Side: 30
Renovation and rebuild of old offices
CONSTF:6CTION INFORMATION;
;to
itona wor e e rme
nGasTank
un ert spermt—c ec
❑Gas Piping
a
Shutters
Windows/Doors
[�n](
mHVA
_(appy:
gElectric 0 Plumbing
Sprinklers
L d Generator
Roof Roof pitch
Total Sq. Ft of Construction:
113,000
S
Ft. of First Floor.
0SewerDSeptic
Cost of Construction:$
Utilities:
Building Height:
OWNERiLES_$EE
CONTRACTOR „• " `
Name Liberty Tire Recycling
Name: Randy Halterman
Address: 600 River Avenue, 3rd Floor
Company: S&R Classic Homes Corp
City: Pittsburgh State: PA
Zip Code: 15212 Fax,
Phone No. 772-465-0477
Address:
City: Orlando State: FL
Zip Code: 32804 Fax:
Phone No. 321-2284448
E-Mail: kbloomer@libertyBre.com
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E-Mail: ranhal407@yahoo.com
State or County License: CBC049013
If value of construction Is $2500 or more, a RECORDED Notice
is required.
B
S1iPPLEMENTA4CONSTRUCTIQt\4 LIEM tP W tNF,URMATION
DESIGNER/ENGINEER: x _
Name' mia ' nensm-Alchle t iw
Not Applicable
MORTGAGE COMPANY:
Name:
_ X_ Not Applicable
Address: easDv —A—us
Address:
City: RPM
Zip: sww Phone 7724w--niil
State: FL
City:
Zip: Phone:
State:_
FEE SIMPLE TITLEHOLDER: _X_
Name,
Not Applicable
BONDING COMPANY:
Name:
X_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 ana mstananon as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy make no representation that is granting a permkwiil authorize the ermit holder to build the subject structure
structure. Pleasecconsulany
withpyour Home Owners Associattion Association
drrreview your deed ffor any restri aansawhich maor
aprohibit
ly obit such
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 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
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA—
COUNTYOFCOUNTYOF
yr nqz
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
osdayof IA'c' L"by
this Il dayof Mflyr)\ r20ILIby
this .20
Nam of person making statement /
Name of person making statement
Personally Known OR Produced Identification V
Personally Known OR Produced Identification
Type of Identification \ .r
Produced lO�r'�OI O—�'±'t �Q-NS CA.�-V1
Type of Identification
Produced rta,.d--
lyidanaX Ambsr
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(Signature c otary Public 1 rida) glateo Fiodda
( ignature of NotaryP 'c- tate of Flod6%JAdnan Anal
commission F*ms
Commission No.. (Seal) Jut, 0d,2020
�p gubic
mission No. Fi6 133 S4rt�ebdda
Comm%s�n No- 852 y
My Commission Expires olifl l
Commission No. GG T
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
I13I1
RECEIVED
DATE
COMPLETED
Rev.812/17