HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t�
Date: VOv �� Permit Number:
- _ -; io .EIVED
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__ Building Permit Applic tion
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMITTYPE: INSTALLATION of exterior door
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Address: 51Turnpike Feeder Rd., Fort Pierce, FL
Property Tax ID#: One 1301 –615–0079–0009 12–a–BL K number 18, 19,20 map 13/12 SO Lot No.18, 19,20
Site Plan Name: Lakewood Park Plaza Block No. K
Project Name:
:DETAILED DESCRIPTION (JIF WORK
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Replace one exterior rear door .
ucaNSTRucTioN.iN> oRATioN
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: Sq. Ft. of First Floor:
Cost of Construction:$ $600 Utilities: —Sewer —Septic Building Height:
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OWNER/LESSEE CONTRACTOR
Name Lakewood Park Plaza LLC Name:Nelson Duque Apolinario
Address:8963 Stirling Rd. unit 101 Company:Automatic entrances Inc.
City: Cooper city State: Address:14000 NW.4th St.
Zip Code: 33328 Fax:954-432-7339 City: Sunrise State:FL
Phone No.954-432-0272 Zip Code: 33325 Fax:
E-Mail:gsperduto@accountinglinkusa.com Phone No 954-851-1300
Fill in fee simple Title Holder on next page(if different E-Mail James@AEldoors.com
from the Owner listed above) State or County License CGC 1522428
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFQRMA710N
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: 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 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."
Signature of Own er/.wesseWcontractor as Agent for Owner Signature of Contr cttor'/Lice older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ( 3c R)tt COUNTY OFY�1-LY1�vt�l�
The forgoing instrument was acknowledged before me The f r oing instr a was acknowledged me
this day of lC 20� by thi day of 204 by
Name of person making statement. Name of person making sta ement.
Personally KnownyOR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
1 � C "4� 4,
(Signature of Notary Public-State of Florida) (Signa of
r SUZAN D.JIMENIM
Commission No. Commi Myc�Mm1IS M#GP2022
BARBARAC.CRUZ '�"• "-z�� ..�';; MY COMMISSION#GG 009353 = ;} P. � S:FebNeryXPIRES:Septem r 17,2020 "" AA
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REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19