HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 2,2021 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial xx Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5701 Environment Dr., Fort Pierce, FL 34981
Property Tax ID #: 3301-500-0002-000-2 Lot No. 1
Site Plan Name: Block No.
Project Name: Fort Pierce Location for Contender Boats, Inc.
DETAILED DESCRIPTION OF WORK:
Selective demolition and steel column repair.
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 _Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 125,000.00 Utilities: -Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Contender Boats. Inc. - Joseph Neber
Name: Michael Jacquin
Address:1820 S.E. 38 Avenue
Company: Paul Jacquin & Sons, Inc.
City: Homestead State:FL
Zip Code: 33035 Fax:
Phone No.
Address: 7348 Commercial Circle
City; Fort Pierce State: FL
Zip Code: 34951 Fax: 772-466-2806
Phone No 772-465-2475
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail michael.jacquin@pjsi.com; valede.davis@pjsi.com
State or County License CGC060473
IT vawe or construction is zsuu or more, a necunueu Notice or 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: _
Name: Doaadm s Associates, Amhaects, P.A.
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 20019th Ave. suite 306
Address:
City: Vero Beach
Zip: 32960 Phone 772-794-2929
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con 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 Coynty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recordihe vour Notice of Commencement.
Signatu / Lessee/Contractor as Agent for Owner
Signatu n actor/License Holder
STATE OF ORIDA L
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STATE OF FL RIDA�
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COUNTY IF J 1 .
COUNTY OF J'f
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 r %y of r-� 2020 by
this 5�day of �CI� 2020 by
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Name of person making staltbment.
Name of person making stat ent.
Personally Known 'k OR Produced Identification
Personally Known Y_ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- at ori4atLyPubhestale of Flonae
( nature of Notary Public- St e o ri PJ a State o1 Fbn
`�`, Valerie J Davis
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