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^All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0
PERMIT APPLICATION FOR:
Ac'rd—re'ss.. -ASTO Commercial Circle�3�Q �0��O�0
Prope�yTax|D#� �-""
Site Plan Name: Kings Commercial Ct LL[
Kin CommercialC tLLC
Project Name:
New DumpsterPad ' See page 2for details unsite
11
Lot No. —
Block No.
New Electrical Meter Second Electrical Meter (Affidavit �H0K�required) « ����
Additional work tobeperformed underthispennit—checkaUthatapply:
—Mechanical __ Gas Tank __ Gas Piping Shutters VVindovxs/Doors
— Electric — Plumbing — Sprinklers — Generator Roof
Total Sq. FtofConstruction: 200 Sq. Ft. ofFirst Floor:
___
Cost of Construction: $ 3,900.00 Utilities: —Sewer —Septic
Building Height:
E.
CONTRACTOR
Name Kings Commercial Center LLC
Name: Michael R. Jimenez
Address: 7416-A SW 48 ST
Company: Excel Construction LLC
City: Miami State: FL
Address: 7416-A SW 48 ST
Zip Code: 33155 Fax: 305-669-0110
City: Miami State: FL
Mail: mike@excelconstructionllc.com
Phone No 305-778-4444
Fill in fee simple Title Holder on next page (if different
E-Mail mike@excelconstructionlic.com
from the Owner listed above)
State or County License CBC 1260792
Itvalue of construction m2500ormore, aRECORDED Notice of Commencement isrequired.
Ifvalue ofMAVC isg7,500o,more, aRECORDED Notice ofCommencement isrequired.
Od '
DESIGNER/ENGINEER: _ Not Applicable
Name: Architectonic, Inc
Address: 806 Delaware Ave
City: Fort Pierce State: FL
Zip: 34950 Phone 1-772-460-7751
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Kings Commercial Center LLC
Address: 7416-A SW 48 ST
City: Miami, FL
Zip: 33155 Phone: 305-778-4444
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State:
x Not Applicable
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 priorto 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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�Nt*of Commencement may result in paying twice for
improvements to your property. A Noticmencement must be recorded in the public records of St.
Lucie County and posted on the jobsitee first inspection. If you intend to obtain financing, consult
with lender or an attornev before co encina work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Co ractor a Agent for Owner
STATE OF FLORIDA
COUNTY OF Miami Dade
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
_
this 11 (0 day of December 20 21 by
Michael R. Jimenez
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Commission No. GG943007 (Seal) vA�dy Notary Public State of Florida
Barbara L Alvarez
° e My Commission GG 943007
ca ExPires 02/15/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ttev 5/2u/21