HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/25/14 Permit Number: 1403-0094
Building Permit Application
Planning. and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: .To Select from dropbox, click.here
'P -0 SED,1MPROVEMENT LOCATION::'
Address: 2541 SE Walton Rd Port:Saint Lucie FL - 34952 7169
Legal Description: ST LUCIE GARDENS 31 36 41 BLK 4 LOTS A, B, C-LESS RD R/W- (14.63 AC) (MAP 35/31 S) (OR 800-1616)
Property Tax ID #; 3414-501-3203-000-2 Lot No'-.
Site Plan Name: Block No.
Project Name: The Savannas Preserve State Park Education Center Improvements
Setbacks Front, Back: Right Side: Left Side:
DETAILED °D`ESCR'IPTIOWOF WORK
Construction of a 3000sf addition to the existing educations center building. The entrance road and
parking lot will be paved with concrete. sidewalk, landscaping of parking -lot median. grubbing,
excavation, embankment, paving operations, curbing, drainage swales, utilities, sodding, signing,
'landscaping and all work needed to provide.a complete project:
-CONSTRUCTI.ON:.IN'FO:RMATION :.:
Additional work to be nprtormed under tispermit—check all apply:
�HVAC Gas Tank ❑Gat Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing ❑Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor: .
Cost of Construction.: $ Utilities:Cn Sewer ❑ Septic. Building Height:
0-VI/NER/LESSEE:,
CO"NTRACTOR: ,
Name The City of Port St Lucie
Name: Michael Jacquin
Company: Paul Jacquin &Sons, Inc.
Address:
City: State: FL
Address: 7348 Commercial Circle
City: Fort Pierce State: FL
Zip Code: Fax:
Phone No.
Zip Code: 34951 Fax: 772-466-2806
E-Mail:
:Phone No: 772-465-2475
E-Mail: nichole.kraum@pjsi.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed 'above)
State or County License: CGC060473
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires. I
,SUPPLEM'ENTAL.C.ONSTRUCTI.ON LIEN' LAWI,NFORMATI.ON:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first.inspection. If you intend to obtain financing, consult with lender or an.attorney before
commencina work or recording vour Notice of Commencement.
Signature of Owner/ AgeyY�/�i.essee I Signature of ContracVr/License Holder
STATE OF FLORIDX
COUNTY OF srU,cy
The forgoing instrument was acknowledged before,me
this le day of (Gy 2015_ by .
STATE OF FLORII
COUNTY OF St ucie
The forgoing instrument was acknowledged before me
this 115" day of �L i� 2015_ by
1 1 ► (3Xt{�(3C.G�[� Michaeljacquin
(Name of person acknowledging)
ature of Notary'Public- State of Florida
Personally Known C/ . OR Produced Identification
Type of Identification Produced
Commission No. JB"'18 7Pd
Public State of Florida
Name of person ackno dging )
(Signature of D16tary Public- State of Florida )
Personally Known x OR Produced Identification.
Type of Identification Produced
Commission No /,?7/.5-/ (Seal)
N11 n111 "*Ins Notary Public State or r1grium
My Cammisswn FF 187151 "
Revised 07/1 Expiree.o1H112o19 Niohol MiMi0ln_
orw ;143 1 Commission FF 187151
/`,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE —;,.
IANGROVE
COUNTER
REVIEW
REVIEW
REVIEW.
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS