Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �j (� Date: 12/4114 1 I 'L/I'� Permit Number: I V D I ✓(X2O / Building Permit Application iflurloAS 7'I8 Planning and Development Services Q�N Building and Code Regulation Division NVos 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: To Select from dropbox, click here PROPOSEDIMPROVEMENT LOCATION: Address: 887 E Prima Vista Boulevard, Port St Lucie, FL Legal Description: Property Tax ID #: 3419-515-0001-000-3 Site Plan Name: Port St Lucie Shopping Center Project Name: Port St Lucie Shopping Center Setbacks Front 25' Back: 20' Right Side: 10' Left Side: 20' DETAILED DESCRIPTION OF WORK Demolition of part of the building facing US1 u OHVAC UGas Tank Gas Piping Electric ❑✓_PI ❑Sprint Total Sq. Ft of Constructi : 5,520 Cost of Construction: $ 30,470.00 Lot No. Block No. Shutters ❑ Windows/Doors Generator Z Roof S FtFtt.� of First Floor: _ Utilities: LJ Sewer []Septic Building Height: 24' OWNER/LESSEE: CONTRACTOR: Name St Lucie Realty Group LLC Name: Michael Jacquin Address: 905 NE Prima Vista Blvd, Suite F Company: Paul Jacquin & Sons, Inc. City: Port St Lucie State: FL Zip Code: 34952 Fax: Phone No.772-878-5947 Address: 7348 Commercial Circle City: Fort Pierce State: FL Zip Code: 34951 Fax: 772-466-2806 Phone No. 772465-2475 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: nichole.kraum@pjsi.com State or County License: CGC060473 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL':CONSTRUCTION'LIEN LAW INFORMATION': DESIGNER/ENGINEER: _ Not Applicable Name: Dortadm&Associates MORTGAGE COMPANY: _ Not Applicable Name: Address: 90917th street Address: City: Vero Beach State: FL Zip: 32860 Phone: 772-794-2929 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 rney before commencing work or recording your Notice of Commencement. r gent/Lessee Signature of OrOR Signature of Con /License Holder STATE OF FIDA STATE OF FLORIDA COUNTY OF $'T-(a r1(r COUNTY OF 5r Lvcal' The forgoing instrApent was acknowledged before me The forgoing instrument wils acknowledged before me this dayJ o�f /Tr! . 20 15 by this _Z day of..tgPrl, 20_15Jay Y I tiG 1r�1� �iaCCVVv=�rJ f� T cd I et�C .7,tl C-OL)r —r/ (Name of person acknowledging) /JiGI/WL (Name of person acknn6wlledging ) �n5g ignature of No ry Public- State of Florida) (Signature of N96ry Public- State of Florida ) Personally Known t/ OR Produced Identification Personally Known L_�CR Produced Identification Type of Identification Produced Type of Identification Produced Commis n.Nox�symaeal Commissio o. stlfba a ff- Nlchole lUaun � --" Kraum M Ctxnmialion EF,1E7151 bn FF187151 pexptms Dili ti1119,- Revis p E*ma 01111=19 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 1 INITIALS 00pa on,� }STO BE ACCEPTED �t As Permit Number: 15 04 © 1 a9NNHOS I L w �U6605 Building Permit Applicati Planning and Development5ervlces / Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residenti PERMIT APPLICATION FOR: To Select from dropbox, c'ck here `PROPOSED IMPROVEMENT LOCATION:: A r ss: E Prima Vista Boulevard, Port St Lucie, FL. r0 Legal Description: PropertyTax ID #: 3419-515-0001-000-3 Site Plan Name: Port St Lucie Shopping Center Project Name: Port St Lucie Shopping Center Setbacks Front 25' Back: 20' Demolition of part of the building Right Side: 10' Left Side: 20' US1 CONSTRUCTIONINFORm*TION: �HVAC Gas ank 'Electric 0 PI mbing Total Sq. Ft of Constructio : 11,125 Cost of Construction: $ 2'119.00 g LJShutters Fi ers Generator S�Ftj. of First Floor: _ Utilities: Sewer 0 Septic Lot, No. Block No. 11 Windows/Doors W1Roof Building Height: 24' OWNER/LESSEE: CONTRACTOR: Name St Lucie Realty Aroup LLC Name: Michael Jacquin Address:905 NE P ma Vista Blvd, Suite F Company: Paul Jacquin & Sons, Inc. City: Port St Lucig i State: FL Zip Code: 3495 Fax: Phone No.772-878-5947 Address: 7348 Commercial Circlet' City: Fort Pierce ^ Stat FL Zip Code: 34951 kw 7Z 6- fi7 Phone No. 772-465-2475 0� s E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: nichole.kraum@pjsi. State or County License: C06 it value of construction is ,iZ500 or more, a RECORDED Notice of Commencement is required. U B SU;P:PLEMENTALCONSTRUCTION'LIEN LAW INFORMATION; DESIGNER/ENGINEER: _ Not Applicable Name: oonadio&Associates MORTGAGE COMPANY: _ Not Applicable Name: Address: 909 17th Street Address: City: Vero Beach State; FL Zip: 32960 Phone: 772-794-2929 City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Court 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 commencing work or recording your Notice of Commencement. i Signature of Owner/ Agent/ Lessee Signature of Co a� or/License Holder STATE OF FLORIDA STATE OFF RIDA COUNTY OF COUNTY OF S-r I vCc lr The forgoing instrument was acknowledged before me 14 The for oing instrument was acknowledged before me this May of APB 20_1 by this _ day of . 20 by , 1 I�r �✓� C OU J7- ,,f (Name of person acknowledging) (Name of person acknowledging ) Lz� (Signature of NotaryPublic- State of Florida) ignature of tary Public -State of Florida ) Personally Known OR Produced Identification Personally Known _L::��_OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. (Seal) Commission No. 1.6'% /T_( (Seal) v, Revised 07/15/2014 �.."a� Notary pua-a - - - -1 - - m Nichole Krum a y � My Commiuion FF tET151 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANSSJVE REVIEW "3";"dV ExiallaSOV11120119 REVIEW RE ZN REVIEW DATE COMPLETE INITIALS