HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/7/2020 Permit Number:
' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1S53 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 4500 W. Midway Rd., Fort Pierce, FL 34981
Property Tax ID #: 3406-501-0020-000-9 Lot No.
Site Plan Name: New Horizon's of the Treasure Coast, Inc. Block No.
Project Name: Building D
DETAILED DESCRIPTION OF WORK: I
Demo and remove existing building
New Electrical Meter Second Electrical Meter.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric — Plumbing
Total Sq. Ft of Construction: 1,944
Cost of Construction: $ 2,000
Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name New Horizon's of the Treasure Coast, Inc.
Name: Michael Jacquin
Address:4500 W. Midway Rd
Company: Paul Jacquin & Sons, Inc.
Address: 7348 Commercial Circle
City: Fort Pierce State: _
Zip Code: 34981 Fax:
City: Fort Pierce State: FL
Phone No. 772-380-3424
Zip Code: 34951 Fax: 772-466-2806
E-Mail:lwakefield@nhtcinc.org
Phone No 772-465-2475
Fill in fee simple Title Holder on next page ( if different
E-Mail brian.hill@pjsi.com
State or County License CGC060473
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Address:
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ^ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name: i
Address:
Address:
City:
City:
Zip: Phone:
zip: Phone:
OWNER/ CONTRArTnD AMIN IT.
- - . • r JJpnc.auVn V) „Ureoy maue to outain 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 1 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an att/orne before com — encing work or recording our Notice of Commencement.
Signature of Owner/ essee/Contractor as Agent for Owner
STATE OF FLOM
COUNTY OF. L), _AC
,
Sw rn to (or affirmed) and subscribed before me of
Physical Prese qr Online Notarization
this day of (� t 2020 by
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification
Produced -,
t�ignazuF of No ry PiJblic-�(Sffate of Florida)
0 I *�kv Puei, TRACY N. ORYAitr
Commission N (gi�ion#GG3lBi38fi
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REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Si t Contractor/License Holder
STATE OF FI.OtlPt
COUNTYOF_
Swor to (or affirmed) and subscribed before me of
Physica! Presence r Online Notarization
this day of 2020 by
1
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced _
(SignaturTof NWry Pub! -
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Commission No�� �:Nik
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PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW