HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEI
' Date:, 10 % / ' %' ,;;b' Permit Number:��
RECEIVED
S�'Yo LYCy2G NOV 1.7 1010
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Permitting Department
Building Permit Application St. LucleCounty
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: Patch Reef Title Company
PRQ 'Q$ED IMPROVEM IVT LC?CATIQN , ;< h
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Address: 9702 Reserve Blvd
PropertyTax ID#: 3327-314-0021-000-0
Site Plan Name:
Project Name: Patch Reef Title
1
Lot No.
Block No.
Install Low Voltage Security Alarm and Access Control System. Connect Access system to building fire alarm
so power drops to the mag locks upon activation.
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction: 14210
Cost of Construction: $ 11,305.00
_ Sprinklers _ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
ODUNER%LESSEE " ` " �';
kCONTRi4CTOR
Name Reserve Reality And Investment
Name: Guillermo Gonzalez
Address:4455 Military Tr #102
Company:Johnson Controls Security Solutions
City: Jupiter FI State: _
Address: 1830 south Park Lane
City: Jupiter State: FI
Zip Code: 33458 Fax:
Phone No.
Zip Code: 33458 Fax:
E-Mail:
Phone No
E-Mail tequila.williams@jci.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License EF20000574
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.
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SUP:PLEM.ENTALCO:NSTRUC:TIO:N.LIENLAW:.INF.ORMATfO:N;.:
DESIGNER/ENGINEER: _ _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone: —
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
1 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 l 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 your Notice of Commencement.
Signature of Owner/ a ee/Contractor as Agent for Owner Signature of
STATE OF FLORIDA STATE OF FLORIDA .
COUNTYOF T3foWQ(d COUNTY OF Bfo{.�a rJ
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization 'Physical Presence or Online Notarization
this ,5 day of QV bd Pry� �, 2020 by this day of IN O\I-P Y%Ab er, 2020 by
1,,Lkl,-r'MO oo 5c, -P ►11�cMo �bi
Name of person making statement. Na of person making ss a`�tement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
V kA�V_Z�,
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(Signature of No
►" °{gip,, OUTIBATTENFIELD
Commission No. a.: :. MYC0MMI8q_ f!H027014
EXPIRES: Atost3,2024'
Thiu Notary PLA& Untmrhi
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known ✓ OR Produced identification
Type of Identification
Produced
(Signature of
Commission No.
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
OUTI BATTENFIELD
MY COMMISM@NJ HH 027014
EXPIRES: Augusi 3, 2024
SEA TURTLE MANGROVE
REVIEW REVIEW