HomeMy WebLinkAboutBUILDING_PERMIT_APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-16-2020 Permit Number:
Y`ELLLCLL
I r L Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 8540 Commerce Centre Drive Port Saint Lucie, FL 34986
Property Tax ID #: 3327-807-0001-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Hilton Garden Inn
DETAILED DESCRIPTION OF WORK:
Lobby / Restaurant Public Spaces - first floor only
New bathroom tile, new countertops, retile lobby, retile restaurant, carpeting, stack stone columns, new front desk,
reconfigure sundre store, miscelleneous electric and plumbing work
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 ✓dumbing _ Sprinklers —Generator Roof Pitch
Total Sq. Ft of Construction: 18,900 4A Sq. Ft. of First Floor:
Cost of Construction: $ 175,000.00 Utilities: _ Sewer _ Septic Building Height: 3 stories
OWNER/LESSEE: CONTRACTOR:
Name Hadico PSL Investments LLC Name:
Address: 124 W Pico Blvd Company -Janis Services, Inc.
City: Los Angeles State: !A Address:209 S 3rd Street
Zip Code: 90015-2413 Fax: City: Lantana State: FL
Phone No. 954-270-8009 Zip Code: 33462 Fax:
E -Mail: Phone No 561-582-3393
Fill in fee simple Title Holder on next page ( if different E -Mail Karen@janisservices.com
from the Owner listed above) State or County LicenseCBC0364549
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
N a m e: Thomas Brown Architect
Address: 5266 Pinto Way c
City: Orlando State: FL
Zip: 32810 Phone 407-296-8990
FEE SIMPLE TITLE HOLDER: --Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Phone
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
--Not Applicable
State:
✓Not Applicable
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 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee&ontractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFPalm Beach COUNTY OF Palm Beach
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 16 day of November 2020 by
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 16 day of November ,202O by
Richard A Brown Richard A Brown
Name of person making statement. Name of person making statement.
Personally Known x
OR Produced Identification
Personally Known x
OR Produced Identification
Type of Identification
Type of Identification
Produced �_ .'
Produced
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Jeffrey Jr Penlase
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Jeffrey J. Perusse
(SignatL / N
8, 2023
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Commission No.
Nota
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Commission No. �
,2023
Bonded Thru Aliaf�ry
REVIEWS I FRONTZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW