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HomeMy WebLinkAboutPermit appAII APPLICABLE INFO MUST BE COMPLETED FOR APPLTCATION TO BE ACCEPTED Date: 1111812A20 Permit Number: Building Permit Application Plonning and Development Services Building and Code Regulotion Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (7721 462-1553 Fax: (7721 462-1578 Commercial x Residential PERM IT APPLICATION FOR:EXOLookSpa PROPOSED IMPROVEMENT LOCATION: Address: 8412 S Us Hwy 1 Port St. Lucie, FL 34952 Si'L. L:u:q[Li - =ffigouldfrfry,$TryitY_.. Property Tax lD 6' 3414-501-1903-010-8 Lot No. 10 Block No. 8Site Plan Name: Project Name:EXOLookSpa DETAILED DESCRIPTION OF WORK: Commercial Tenant build out as per the approved drawings New Electrical Meter Second Electrical Meter CONSTRUCTION I NFORMATTON: Additional work to be performed under this permit - check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Sprinklers_ Electric _ Plumbing Total Sq. Ft of Construgl;sr'l' 817 Sq. Ft. of First P1ssl' 8'17 Cost of Construction: $ 4200 Utilities: _ Sewer _ Septic Building Height:1B' Shutters Windows/Doors RoofGenerator Pond Pitch OWNERILESSEE:CONTRACTOR: NameSt Lucie Lake Plaza, LLC. 4661ss5.8402 S US Hwy 1 City: Port St. Lucie State: _ ZiP Code: 34952 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Il3rng.Eamon Walsh Company: Eamon Walsh Construction, lnc 466ps55.2334 SE Shelter Drive City:Port St. Lucie State: FL ZiP Code: 34952 Fax: phone 9e305-393-0992 g- 1y1" ; 1 custombu i lder.d esi g ner@yahoo. com State or County 116sn5sCBC1251343 lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applicable Name:Jim cirsenbach AddfeSS: s00e on€ Putt Ptffi City: PortstLucie MORTGAGE COMPANY: _ Not Applicable Name: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: 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 CounW makes no reoresentation that is erantine a oermit will authorize the oermit holder to build the sublect structure which is in conflict with anv a'oolicable Home Owilers Asiociation rules. bvlaws or and covenants that mav restrict 5r orohibit such structure. Please consult with'iour Home Owners Association and review'your deed for any restrictions uihich may apply. ln 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 Buitding 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 rnust be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. lf you intend to obtain financing, consult with lender or an attornev before commencing work or recordinE vour Notice of Com Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTYIFCOUNTY,OF I A?,<^-dtn ,/ Sworfto (or affirmed) and subscribed before me of(/ phvsical Presence or , Online Notarizationfri, l? davot lJoten@ .2020 bv7--------------- t €a,nL n Qr alsk Name of person making statement. OR Produced ldentification Signature of Contractorllicense Holder STATE OF FLORIDA COUHTY OF ,/ Sworn *6 (or affirmed) and subscribed before me of t,/Phvsical Presence or ,Online Notarization u:T,t 75 arv rr ./l- ( Z nb v, 2o2o by {ar-"- (r'Jaf*L' me of person making statement. OR Produced ldentifi cation ryoon13ffirsettr tlsdtlqAEl OormbrholS@8{3Ot Notary Publ--rc- Sfate of Florida )gtrD.Lrd Maftfi f6,20Af REVIEW DATE COMPLETED