HomeMy WebLinkAboutBuilding permit app, corrected applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 8, 2020 Permit Number:
b �
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Building
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Address: oug o. rxings mignway, fort Pierce, FL
Commercial X Residential
Property Tax ID #: 2311-800-0042-000-3 (Acct# 172258)
Site Plan Name:
Project Name: First Source Commerce Park
DETAILED DESCRIPTION OF WORK:
Tennant Improvement
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: 2000'
Cost of Construction: $ $50,000.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 803 VENTURES L.L.C.
Name: Roger Robert Mac Kenzie
Address:590 Goolsby Blvd
Company: DEMAC Construction
City: Deerfield Beach State: _
Zip Code: 33442 Fax:
Phone No. 954-428-8919
Address: 2440 SE Federal Hwy Suite X
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772-370-4113
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
IF
E -Mail Rogermackenzie8@gmail.com
State or County License State CGC 053481
,wu1-n vi a U11111lenGeMen1 IS requirea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: ARCHITECTONIC INC
Address: 806 Delaware Ave
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: Fort Pierce State: FL
Zip: 34950 Phone 772-460-7751
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
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 O N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
ev. 217119
Signature of Owner/ Lessee/Contractor as Agent for Owner
Si ure of Contract 29rcense Holder
STATE OF FVMDA
STATE OF FLgR DAA
COUNTY OF
COUNTY OFM_�1EL'�
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this lk day of _� 20 D by
this 1k day of t1J.�Pe-{ 120' by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known
Type of Identification
Type of Identification DYLAN M. KEITHLEY
Produced
Produced ;`:°��pYPUe`cNotary Public -State of Florida
=* *= ommission # GG 359087
My Commission Expires
DYLAN M. KEITHLEY
Notary Public-Statef Florida
(Signa e o ar _ itg�l )# GG 359087
(Signature e of Florida )
�+ My Commission Expires
�`��`
......
i Jul 25 2023
Commission No.
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 217119