HomeMy WebLinkAboutBuilding Permit Application I
All APPLICABLE INFO MUST BE COMPLO FOR APPLICATION TO BE ACCEPTED ZOUc(' OO 9V JV\Irl
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Date: 12/31/2020 Permit Number: 2A(31
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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: LOW-voltage electrical fire alarm
PROPOSED IMPROVEMENT LOCATION:
Address: 3891 St Lucie Blvd
Property Tax ID#: 1432-211-0002-000-2 Lot No.
Site Plan Name: PB Holdco LLC Block No.
Project Name: RK Davis Const for Pursuit Boats
[DETAILED DESCRIPTION OF WORK:
Add initiating devices to existing fire alarm system for booths and upholstery areas
New Electrical Meter Second Electrical Meter
FcONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4,628 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NamePB Holdco LLC Name:Edward Pleffner
Address:3901 Saint Lucie Blvd Company:ADT Commercial
City: Fort Pierce State:_ Address:3150 SW 42nd ave
Zip Code: 34946 Fax: City: Palm City State:FL
Phone No.772-465-6006 Zip Code: 34990 Fax:
E-Mail:amusiol@pursuitboats.com Phone N0772-232-2001
Fill in fee simple Title Holder on next page(if different E-Mail Palmcitypermits@adt.com
from the Owner listed above) State or County License EC13004155
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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SUPPLEIVIENTALCONSTRl1CTION LIEN LAW INFORMATIO k �
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: 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.
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/Lice se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF-Martin
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization x Physical Presence or Online Notarization i
this 31st day of December 2020 by this 31st day of December 2020 by '
Edward Pleffner Edward Pleffner
Name of person making statement. Name of person making statement.
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Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced n ( Producedafq) &
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(Signature of Notary Public-State of Florid;t§ SIELLq R�//// (Signature of Notary Public-State of Florida )�\\\N STEL(q //s
Commission No. SeaiyGj LY3o N� �0/ Commission No. lj.' l comY�p°�0,��
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COUNTER REVIEC$h°GB 6j��E 'oP REVIEW REVIEW REVIEW �'s��c' � r1fl��s•
DATE //// StATE// 111 11 1�11��� \ ////i;Q11u111110 RECEIVED
DATE
COMPLETED
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