HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/22Permit Number:.2:1°09=0103tt-
RECEIVED
0
9 lb 66' Q ° ° L!� Building Permit Application APR 2 12022
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (7721462-1578
5t. Lucie County
Commercial X Residential Permitting
CBDG Fundine
PERMIT APPLICATION FOR: r Panel.
PROPOSED IMPROVEMENT LOCATION:
Address: 3801 Oleander Av, Port,St..Lucie, 34982
Property Tax ID #. 2433-141-0002-000-4
Site Plan Name:
Project Name: Commons at Oleander
DETAILED DESCRIPTION OF WORK:
Install new sprinkler system panel monitor for the sprinkler system.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed- under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 8,312.13 Utilities: _Sewer _Septic
Lot No.
Block No.
_ Pond
Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Florida Treasure Coast Holdinqs
Name: Luis Molina
Address: 100380 SW Village Center Dr
company: Genset Fire and Security
City: Port St Lucie state: FL
Address: 3100 Gateway Drive
Zip Code: 34987 Fax:
city: Pompano Beach State: FL
Phone No. E-
Zip Code: 33069 Fax: 954-968-6110
Mail:
Phone No 954-607-2958
Fill in fee simple Title Holder on next page (if different
E-Mail Perm it(D-GensetFire.com
from the Owner listed above)
State or County License EF0000857
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
MORTGAGE COMPANY: ✓Q Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: El Not Applicable
BONDING COMPANY: ✓QNot 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 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 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
witVV nder or an attornev before commencing work or recording vour Notice of Commencement.
Sigifat6r& oft&nfractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF Broward
Sworn to (or affirmed) and subscribed before me of X
Physical Presence or Online Notarization
this _19_ day of January , 2o22 by
nn
LV A S �I. AA 0 1 i,,A lq'
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
OPP Notary Public state of Florida
Commission No. (Seal) ;Q Luis A Molina
K My commission GG 329855
Expires o5/o1/2023
�oaP
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