HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/22/2021
Permit Number:
o ,
p Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial xx Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5701 Environment Dr., Fort Pierce, FL 34981
Property Tax ID #: 3301-500-0002-000-2
Site Plan Name:
Project Name: Fort Pierce Location for Contender Boats, Inc.
DETAILED DESCRIPTION OF WORK:
Resin Tank Containment Area
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
Lot No. 1
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _Shutters -Windows/Doors
X Electric X Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction: 764
Cost of Construction: $ 26,560.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Contender Boats. Inc. - Joseph Neber
Name: Michael Jacquin
Address: 1820 S.E. 38 Avenue
Company: Paul Jacquin & Sons, Inc.
City: Homestead State:FL
Zip Code: 33035 Fax:
Phone No.
Address: 7348 Commercial Circle
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-466-2806
Phone No 772-465-2475
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail michael.jacquin@pjsi.com; valerie.davis@pjsi.com
State or County License CGC060473
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: Donaalo s Associates. Archilects, P.A.
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 20019tn Ave, suite 309
Address:
City: Vero Beach State: FL
Zip: 32960 Phone772-794-2929
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _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 contlict 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.
I n 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 Notice of Commencement.
Signature of Owner ssee/Contractor as Agent for Owner
Signature of ntrac or icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF at. was
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this zz day of July 2021 by
this 22 day of July 2021 by
Michael Jacquin
Michael Jacquin
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
\Produced
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(Signature of Notary Public- State of Florida)
(Signature of Notary P blic- State of Florida
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REVIEWS
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Rev. 5/b/2U