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Invoice Number:
Plan Review
Date:
September 10, 2021
Job Name:
Simply Nails
Job Address:
1371 SW Gatlin Blvd PSL, FL
Company:
Michael Hurtak
Address:
1821 SW 56th Ave
City:
Plantation
State/Zip Code:
FL 33317
Phone:
305-772-7399
Fax:
mikehurtak@aol.com
Contact Name:
Mike
`_,,. � _1_�-�Z
Community Risk Reduction Division
Saint Lucie County Fire District
5160 NW Milner Drive
Port Saint Lucie, Florida 34983
Phone: 772-621-3322
Fax: 772-621-3604
www.slcfd.com
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Item
Description
Quantity
Unit Price
Amount
1 Plan Review (Valuation $110,000
x .0036 = $396.00) 1
$396.00
$396.00
PSL Permit # 21-35482
FIRE PREVENTION
5160 NW MILNER
PORT ST LUCIE, FL 34983
7726213343
Cashier: Carl T.
Transaction 001484
Total $396.00
CREDIT CARD SALE $396.00
VISA 8601
13-Oct-2021 11:23:55A
$396.00 � Method: KEYED
VISA XXXXXXXXXXXX8601
MANUALLY ENTERED
Reference lD:128600507298
Auth ID: 004972
MID:********0886
AtfiNtwkNm: VISA
:omments:
SIGNATURE VERIFIED
Sub -total
$396.00
FEES ARE DUE UPON
Fire Marshal plan revi�
Online: https://clover.com/p
reviewed orschedule
/XFCTJGDC7MK2J
fees are separate frorr
Lucie County Fire Dist
Payment XFCTJGDC7MK2J
$396.00
Grand Total
Clover Nnvacy roncy
MAKE CHECK PAYABLE TO• Saini https://clover.com/privacy
Thank You.
Have a nice day!
Amount Received
� C � .��
Cash or Check #:
C
Date:
� � - �`,
5�,9fliT Li3ClE Ct�UtVTY FIRE �15TRIC'T
�=BRE S/�FETY PERflflBT APPLiCATiaJN
�'16{i t�S.tPI. Milner Drive
Port Seine Lucie. FL 3�9233
T2leia�one: ??Z-621-33?2
Fax: 7?�-627-36i)a
trsfe�,;�ddress: wwNi.sieft4.earn
l7/i�ite fees io:�yabin rro: 5aalai Lucie C�unYy Fire Dis£ri�e
'���� �� �e ��e5�o
Plan Review 1,� Per,-nii Renews; (� Fire S;orinkler � Fire,4larm � Fixed Fire Protection � Tent/s
�] Fuel Storage/Disposal � LP Storage/Disposal �] ,=ireworl:s Display � Fireworks Sale � Other
Pi oject Name
� nadl ress ciey
I j
Contractor
4ualifiec
�lddrass
<'iiy
State
dip
Telel+hone
Fa:c
State i.ic2nse
i _ me 1D
contractor Afaiciavif: 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 said permit. Ir. the consideration of granting this requested permit, I do herby agree That I/we will, in all respells, perform theworkand
installation in accordance �n�ich the approved plans, the applicable, Florida Fire Prevention Code, Saint Lucie County Fire District Resolution, Florida Building Code, and
the iV.F.P.A Codes. A plan revision after the issuance of the permit is subject to approval by the Saint Lucie County Fire District. All work and installation as indicated is
subject to Held inspection, compliance modification, and approval by the Saint Lucie County Fire District.
Valt�eloe�are Foul
Signatwe
Scope of work
-pet iFiue of Piaject
Date
�'6�1� ��.l��Fl�>� ���� ���4��A!`�9��9 ����-, ��'� � �� � f;��� 6� ��� pia 6���5�' � �b��^���'E�.
4 p is 7
;�•� � ;°� '"' ;4 City of Port St. Lucie Building DeparfinenE
121 S.W. Port St. Lucie Blvd
�"`�> 1
i �, '� � Port St. Lucie, FI.34953
`�.o;a,•��-f Ph: 772-871-5132 Websifa: w�+n,v.cilVoiosl.com/building
Permit# � � � � $� Pin � C �#
COMMEIaCIAL
�uaLn��G PERnno-r
APPLIC�•1T10�1
__ CONSTRUCTION UNDER THIS PERMIT SHALL BE DONE IN ACCORDANCE WITH FBC ZU20 7TM EDITION
Zoning ID# P-
Tract101her.
ProjectlPlaza name:
Shoppes of Bougainvillea �,
S.L.W. ❑Yes ❑p No
Site Address: 1371i (Units 9 � i0) SW Gatlin Blvd Port Saint Lucie, FL 34953
Name of Business: Simply Nails
Le al Description (5er/tio'/Bloc !Lot • __ � Parcel ID:
Owner's Information -
Na � i :
_hpne; � �.
Addres
���
1���� � �
Contradto�'slnforrnafion �
Name: FI Builders � Innovators, Inc
Email: support@fbi99.com
Phone:407-466-5520
Address:
P O Box 4£32 Plymouth.Fl 32766
� PSL Comp no.
I 15319
Slate License no.
CGC057804
Architect's1En ineet-'s Information
hilect's Narne; _
Email:
P ng;,.
dress: - - L � � -,
...��
Sla l' arso na _
n in eyr's Name; 1 r _ ,�
•Email:
Pth : j - � � � �.�
Addre t • .�, � _ � _
1 i
St to ict<ns no.
� ti_�.��-----____.__.._.............
PROJECT INFORMATION
Descr'plionofwork:Interioralteratlons_r�,j�='.("�{j('• ��fr''}'�7,�ji�/t�;l,n ers:No Number ofstories:l
Numberof units: 2 Elevator No Special conditions: J
!1 r �-1
Occupancy group: 1)l .i �( /� �`i Total sy. foolaye of building: FJ��i Specify�tenant improvement: ❑New 0 Remodel Exis(ing
City.water.�es ❑ No Change Occupancy, �e Alteration
of ❑Yes Shell Permit: ❑Yes �/ No City sewer. j� Yes ❑ No Cfass of vrork: ❑ Nz<v ❑Addition []
SeplicTank Utilities PSL properlyuse: Nail Salon
Total Valuetiort $ � . `����
Is this for a New Business or Existing Business? 'See checklist foraddifional requirements.
BE SIGUED AND{NOTARIZED.BY THE CONTRACTOR ANb OWNER
�"/MUST
Con or S' na ure Date
I O�.vner or Owners Authorized Representative Signature Date
Jeff Warren
_.Print _a�e _ __ __..-_ __ _
Print N�rne_ . _ _ __
n
Notary Public, Slate of Florida
Notary Publics tale of Florida :-v``�+ri�tr�.r..�
ys'r �po� h:ulz. J Pub6c Site d rlorids
STATE OF FLORIDA. County o� . C�' �� �P=la G Wood
v�,-, �`-F.1v commission GG 347199
STATE OF FLORIDA, County of
'—
�C�r.� �� �oFs.otl Expires 0oJ20l2023
[NOIANIAL SEAL[ .,*u�..��
iNUlAFiIAL SLAL �
The foregoing instrument eras acknowledged before me by means of LK physical
The foregoing instrument was acknowledged before me by means of ❑physical
presence�ror ❑ online nofarizalion 1his� day of . �� � i ,hy
presence or ❑ online notarizalinn this day of , 20_,by
�. � P'tt' �C.�y Y�-� who'_ ersonally knowri me
who is personally known to me
or has produced as identification.
or has produced as identification,
FOR OFFICE USE ONLY
4
PERMIT FEE $ fry ' � Payment method: Last 4 Digits Credit Card Check ft�,cept
of or no.: no.:
�rj.
Application datz:......�_� /U ^��. Recd bY:..� ...:'.. _i._..___�_..�.....
Applicafion created 8/11f11(Revised 0411iJ21 YPj
Specs
https://panda��i�eb. cityofpsl.com/PerniitSpecs.aspx?PennitID=2135482
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1----_ �----�---------------_.._.._-_,___..----..._...--------r--T------�---..—.
Reviews/Uploads � Permits Inspeatmns � Addresses Contractors Payments Reports Lmks
_ _.._..
Back to Permit # 2135482
CHANGE LOG
No changes.
SPECS
Description of work
{INTERIOR ALTERATIONS TO INCLUDE ELECTRIC, PLUMBING, AND VENTILATION
Health Department#
�N/A
Fire Sprinklers
� NO
Number ofstaries
_.
}1•
# of Units
� 2 -
Elevator
��'_____-�.-....._-_._�_.�-_.._.-_��.�__._._._.-_-.-_..�:«_..._._f
': NO
Special conditions
Uccupanty Group
jBUSINESS
Name of Business
� SIMPLY NAILS
Total sq. feet of building
� 1800 !
Please specify tenant improvement
Remodel Ex{Sting �
Ciry water
'YES
Change of occupanty
No
Shell permit
-----�
' No: ,�::i
City sewer
Class or work
Septic tank
Utilities
Total valuation
Wind Speed
Type of Construction
Property Use
Construction Material
North setback
Soutfi setback
East setback
West setback
NAIL SALON
0.00
i 0.00 ---
10.00
0.00
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