HomeMy WebLinkAboutBLDG PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
S :`L LU, LL �.
° J J I Building p Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X_ Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: 44' X 12' OFFICE MODULAR [TRAILER]
PROPOSED IMPROVEMENT LOCATION:
Address: 8456 ORANGE AVE., FT. PIERCE, FL 34945
Property Tax ID g:
Site Plan Name:
Project Name: _
2311-242-0000-000-5
CDL TRUCKING SCHOOL
MNSP-7202025788 minor site
DETAILED DESCRIPTION OF WORK:
Uttice trailer tie down
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors _ Pond
Electric _ Plumbing _Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 12,000.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name API - ST LUCIE LLC
Name: Jose A. Nodal
Address: PO BOX 143346
Company: Nodal Construction & Electrical Associates Inc.
Address: 9053 NORTHWEST 189th TERRACE
City: CORAL GABLES State: FL
Zip Code: 33114 Fax:
Phone No. 786-360-9178 E-
City: HIALEAH State: FL
Zip Code: 33018 Fax:
Phone No 786-586-3020
Mail: gina(Mcdlschoo.com / avhiiilcocdlschool.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License CGC1505213 State of FL
It 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.
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 conflicts with az, 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 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
witlhlender or anAtornev before commencing work or recording vour Notice of Commencement.
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Sifrer - or -Owner Builder as applicable
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and subscribed before me of
Physical Presence or �nline Notarization
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Name of person making statement.
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Personally Known OR Produced Identification
Type of Identificatio Produced
(Signature of Notbry Public -'state rida) �•4iV ••••t
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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