HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/30/2018
Permit Number: U5'
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Permit ApplicatioNov
LRECEIVED10Building
g o Zo1sPlanning
and Development ServicesBuilding
and Code Regulation Division
itting Department
2300 Virginia Avenue, Fort Pierce FL 34982 Q COUntL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial W Y
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 3171 DAME RD. FORT PIERCE FL. 34957
Legal Description:
County
Property Tax ID #: 2430-501-0013-000-9
_ Lot No.8 & 9
Site Plan Name: SUNSET PARK S/D
Block No.
Project Name: PINA'S
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
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�HVAC
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Gas Tank ]Gas Piping_
Windows/Doors
Electric 0 Plumbing []Sprinklers
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Generator Roof Roof pitch
Total Sq. Ft of Construction: 1156
S Ft. of First Floor:
Cost of Construction: $ NA ,�� -b45 Utilities:[]Sewer
Rlseptic Building Height: 8
OWNERAESSEE:
CONTRACTOR:
NameJP REALTY INVESTMENT CORP
Name: JULIO FORERO
Address:585 SW PRATER AVE
Company: EMPORIUM CONSTRUCTION CORP
City: PORT ST LUCIE State: FL
Address: 1249 SW SANTIAGO AVE
Zip Code: 34953 Fax:
City: PORT ST LUCIE State: FL
Phone No.407-860-0120
Zip Code: 34953 Fax:
E-Mail:
Phone No. 561-929=6887
Fill in fee simple Title Holder on next page ( if different
E-Mail: Info@remporium.com
State or County License: CGC 1514089
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: — Not Applicable
(Name: HERNANDEZ STRUCTURAL DESIGN INC.
Address: 11423 SEA GRASS CIR.,
City: BOCARATON State: FL
Zip: 33496 Phone 7s4-42&S79S
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 1249 SW SANTIAGO AVE
City:
Zip: Phone:
Address:
City: State:.
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
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 conflict 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.
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
rnmmpnrinv work nr rprnrdino vnur Nntire of Commencement.
Signatur Own r/ Lessee/Cdfitractor as Agen GMT
Contractor/License Holder
Signa/rcy
STATE F FLORI
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STATF FLORID
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COUNTY OF
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The f going instryment was acknowledg bef
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The f going instrument as acknowledg before
this 1J day of (�1 20 by
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thisdayof N 20� by
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Name of person making statement
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Name of person making statement
Personally Knowu/ OR Produced Identifi
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Personally Known / OR Produced Identificatio
Type of Identification
Type of Identification
Produced
Produced
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Notary( blic-State of Flori ) 0
Signature f otary Public- State of Florida)
(Signature of
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIE
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
CODATE
MPLETED
Rev.8/2/17