HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
-off J
401t, *001" Building Permit Application
Planning and Development Services
fluildin, .7 and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1 S' ) 8
PERMIT APPLICATION FOR: SOLIthport Professional Center
PROPOSED IMPROVEMENT LOCATION: Parking Lot
. .... . . ............ . .. "
3 Federal K911i'A'ay, Port St. Lucie, Fi. '3,'.'952
Property Tax ID 11: Lot No.—__
SIzIe Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK
Removal of ., cusiorner owned tight fixtures on metal poles. Installation of 4 FPL rj-.,vned and
maintained 133W AEL ATB2 LED fixtures on the same poles, reducing wattage.
New Electrical Mi2ter Second Electrical Meter
CONSTRUCTION INFORMATION:
___ - -------- -
Additional work to be performed under this permit —check all that apply:
—Mechanical Gas Tank W Gas Piping — Shutters Windows/Doors — Pond
Electric Plumbing Sprinklers —Generator Roof Pitch
ol,�! 151 q, F! of Construction: Sq. Ft. of First Floor:
Cost of Construction, $ 2,000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: 1 CONTRACTOR
Name S?ipel Holdings LLC
Name:
.................
Address: 786 SE Hidden River Dr Company:
City: Port St. Lucie State,, Address:
's'
Zip Code! 34983 Fax: City:
Phone No. 772-528-6898 Zip Code:
E-Mail: asiegeflB@conicast.net Phone No
1
Fill in fee simple Title Holder on next page (if different E-Lilail
5 _"
from the Owner listed above) Stateir County t icenseA
If value of construction is 2500 or man,, a RECORDED Notice of Commencement is required,
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Fax:
MENTAL CONSTRUCTION LIEN LAW INFORMATION; rv_.,_ _
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
i Zip. ........... phone .
BONDING COMPANY: "Not Applicable
Name:
Address:
City:
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 Nome owners Association rules, bylaws or an 3 roveriants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed �or any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that t 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 nonresidential 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 cQm nencine work or recording vour Notice of Cnmmpnrpmpnt
Signature of Owner/ Lessee/Contractor as Agent
STATE OF FLORIDA
COUNTY OF_i ctG
Sworr (or affirmed) and subscribed before me of
hy Psical presence or Online Notarization
this )! day of. j� Eby
eta
>ti t
Name of parson ma' , g statement.
Personally Known OR Produced Identification L'
Type of identification
Produce_�tp
yr.. n.rgjti(.
(Signature of Notary Pubbr xkrrr� of Florid
Commission No. ,i 5 (Seal)
pgnaturC of Contractor/License Holder
STATE OF FLORIDA
S
COUNTY OF 1
Sworr (or affirmed) and subscribed before me of
Ph seem Pres a or ......... Online Notarization
this day of 2020 by
Name of person making statement.
Personally Known _ OR Produced Identification
h�tary �c5 iz Stara, of Flr nG
Cammiss'pn r GG 325335
119g"IcKftnit .. Potary Public= State of Florida ) n
Commission No, 6,6-j 475180 (sea�j
�TFOF F��P
REVIEWS FRONT I ZONING I SUPERVISOR I PLANS VEGETATION I SEA TURTLE MANGROVE
COUNTER ' REVIEW REVIEW REVIEW REVIEW I REVIEW REVIEW
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TE C}
'E T. HAYES
ion # GG 147280
October 1, 2021
Mod Notwry Sw*n