HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: M4V �c 2021 Permit Number:
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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: Child Advocacy Center
PROPOSED IMPROVEMENT LOCATION:
Address: 8565 Commerce Centre Drive, Port St. Lucie, FL 34986
Property Tax ID #: 3327-805-0001-000-1
Site Plan Name: SECOND REPLAT OF PGA COMMERCE CENTRE AT THE RESERVE POD
Project Name: Baron Child Advocacy Center
DETAILED DESCRIPTION OF WORK:
Demolition work indicated on plans. No structural demo involved.
New Electrical Meter NA Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
27/36S/39E
Lot No. 3A
Block NO. 33127S
Mechanical — Gas Tank _ Gas Piping Shutters Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 6100
Cost of Construction: $ 26000.00
Sq. Ft. of First Floor:
Utilities. —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Guardians for New Futures / Debbie Butler
Name: Brandon R. Noble
Address: 776 SW Munjack Circle
Company: Remnant Construction LLC
City: Port St. Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772.359,2824
Address: 201 S 2nd Street, Suite 100
City: Fort Pierce State: FL
Zip Code: 34950 Fax:
Phone No 772-577-5850
E-Mall: dbutler@gfn14kids.org
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail bnobile@remnantconstruction.com
State or County License CBF1261746
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Peter W Jones AAA
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 140 N.W. Pleasant Grove way
Address:
City: Port&.Lude State: FL
Zip 34986 Phone772-559-4714
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X 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.
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 Horne 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, wails, 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 attornev before commencing work or recordine4o mice of Commencement.
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Signat of Owner/ Lessee/Contractor as Agent for Owner
—Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S1 L-1e
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Rev. 5/b/20