HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLCt cv FOR APPLICATION TO BE ACCEPTED
Date: 06.03.19
SCANNED Permit Number: I ob - 1110Y
BY
St. Lucie County
RECEIVED
Building Permit Application JUN 05 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 7180 S- US Highway 1, Port St. Lucie, FL 34952
Property Tax ID M
Site Plan Name: C3-Site Plan
Project Name: Dollar General Store #5896
DETAILED DESCRIPTION OF WORK:
Demolition of existing A & building slab.
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply: ate--3>Fa+e 082ut rr
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Constructiom — pl0o
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Cost of Construction:' ��7 l0/a • Ja Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name HSC Port St Lucie, LLC
Name: Ronald J. Yaeger
Address: PO Box 130
Company: Fulcrum Construction Group, LLC
City: Daphne State: AL
Zip Code: 36526 Fax:251-252-9898
Phone No.251-243-0708
Address: PO Box 950
City: Daphne State: AL
Zip Code: 36526 Fax: 251-217-2867
Phone No 251-380-8375
E-Mail: linda@hixsnedeker.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail bobby@fulcrumgroup.com
State or County License CGC1521447
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 CONSTRUCTI IEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Jade Consuftg, LLC
MORTGAGE COMPANY: x Not Applicable
Name:
Address: Po Box 1928
Address:
City: Fairhope State: AL
Zip: 36533 Phone251-928-3443
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name: HSC Port Si Lucia, LLC
BONDING COMPANY: x Not Applicable
Name:
Address: Po Box 130
Address:
City: Daphne, AL
City:
Zip: 36526 Phone:251-380-8375
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT"
Signat re of ner see/Contractor as Agent for Owner
Signat a Contractor/License Holder
STATE OF ALA$
STATE OF ALABAMA
COUNTY OF j-��� W t V'1
COUNTY OF 06992 DPWIA-)
The f oing instr�lment was acknowledged before me
'dayof
The forgoing instrument was acknowledged before me
this JhY> 20� by
this�ayofi/f�/lf� 20� by
making
Name of person making st tement.
Name of person making statement.
Personally Known Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification "11616,
'
Produced
Produced %%,%A40Ai ��'•.
,,GPSEY MAR �0111
;
:' F •.MssioYF yGdo001,
C%r V `
(Signature of Notary Public - State of Fipridi:) IT �%
(Signature of Notary lic- State oM ida) o
Commission No. ��' i)A
Commission No. 2022,•
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REVIEWS
FRONT
ZONING '@&URrWe6R
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19