HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u u
Date: March 17. 2021 Permit Number:
°0 RECEIVED
.0 ° Building Permit Application APR 15 2921
Planning and Development Services PormItkl ,g Department
Building and Code Regulation Division Commercial X Residential St. Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2578
PERMIT APPLICATION FOR: 7 ELEVEN
T• . ,Y-.tip
ROP. SED.:IMI?ROVEM A.,
Address: 7310 INDRIO RD. FORT PIERCE, FL. 34951..
Property Tax ID #: 1314-144-0000-000-0 Lot No.
Site Plan Name: 7 ELEVEN Block No.
Project Name: 7 ELEVEN
FIRE ALARM SYSTEM INSTALLING AN ES-50X FIRELITE PANEL V3'V D-
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. , _ • _ _ A
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 —Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 15,985.61
_ Windows/Doors _ Pond
_ Roof Pitch
Sq. Ft. of First Floor:_
Utilities: —Sewer —Septic
Building Height:
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:
Name =hc/%o Ae,$�:l %��ef.4 csf LLC.
Name:. Guillermo Gonzalez
Address: QQ9 V Q &e,4es
Company: Johnson Controls Security Solutions
City: Vero Se a r,L, State: FL
Address: 1830 s Park Lane
Zip code: 3aW Fax: IV- R
city: Jupiter State: Florida
Phone No. a39 - 98 9-3a37
Zip Code: 33458 Fax:
Phone No 561-207-3529
E-Mail: MroSs6)e-i- dey,cowe
Fill In fee simple Title Holder on next page (if different
E-Mail 9uillermo.gonzalez@jci.com
from the Owner listed above)
State or County License EF 20000574
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.
VC31UNCK/CIVl1 UCK: ivot Appiwagie MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
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 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 your Now of Commencement..
Signature of Own / Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Ze'
Sworn to (or affirmed) and subscribed before me of
AL Phy Ical Presence or . Online Notarization
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this 18 of l —A
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Name of person making statement.
Personally Known
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Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or`affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of . 202f by
Name of person making statement.
Personally Known OR Produced identification
Type of Identification
(Signature of Notary Public- State ofilil ida)
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