HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf
ALL APPLICABLE INFO MUST E COMPLETED FOR APPLICATION TO BE ACCEPTED��
Date: 12J `t� Permit Number: nOa •Ti O
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division SCANNED
2300 Virginia Avenue, Fort Pierce FL 34982 BY
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residentia�l� I -,,.t Cauniy
PERMIT APPLICATION FOR: To Select from dropbox, click here III
PROPOSED IMPROVEMENT°LOCATION:
Addres • E Prima Vista Boulevard, Port St Lucie, FL
Legal Description:
Property Tax ID #: 3419-515-0001-010-6
Site Plan Name: Port St Lucie Sho
Center
Project Name: Port St Lucie Shopping Center
Setbacks Front25' Back:20' Right Side: 10'
Left Side: 20'
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:��
Demolition of entire west building
CONSTRUCTION INFORMATION':
rtiona wor to e e orme under t—checkispermit a apply:
OHVP 11GasTank Gas Piping In _Shutters ❑Windows/Doors
❑✓—Electric ✓❑_Plumbing []Sprinklers FIGenerator W1Roof
Total Sq. Ft of Construction: 3,925
Cost of Construction: $ 21,649.00
S�Ft. of First Floor: _
Utilities: LJ Sewer 1:1 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: 1 .
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.
-S IPPLEIVIENTALCONSTRUCTION LIEN LAW INFORMATION-,
DESIGNER/ENGINEER: _ Not Applicable
Name: Donal&Associates
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: Bos 17thstraet
Address:
City: Vero Beach State: FIL
Zip: 32960 Phone: 772-794-2929
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 accessoryuses 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 ' rid to obtain financing, consult with lender or an attorney before
commencing work or record'recordhif vour Notice of Commencement.
STATE OF FLORIDA
COUNTY OF ST JI
The for oing instr ent was acknowledged before me
this 9a day of 20 15 by
Signature of Contractor/ 'cerise Holder
STATE OF FLORID
COUNTY OF ST- L✓c3 Ef
The forgoing instrument was acknowledged before me
thisJAday of _11 21
1 ir. HALL. , -Ol rr-_0 1/t�Tcd 14Lrt t) c 4t
(Name of person acknowledgin ) (Name of person acknowledging)
(' nature of No ry Public- State of Florida) (Signature of NbtaK Public- State of Florida )
Personally Known L_�-'OR Produced Identification Personally Known t-`� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Comma i.n 1 � Noy�,ouh&Sta4eorFi 15e i) Commission No. � Se
rs' Nichole Kraum .,, Notal IElie Sl a oAde
S __..a..r„n FF 787751 ,A`F NIci KraUm _-
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
1
INITIALS