HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1? O 4 - O Sa 3
Date: ` 4Iz$I15 Permit Number:
Building Permit Application SCANNED
Planning and Development Services -St L BY
Building and Code Regulation Division UCia rnllnty
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 -Commercial ✓ Residential
PERMIT APPLICATION FOR: Electrical /fi%LE
PROPOSED IMPROVEMENT LOCATION:
Address: 9700 Reserve Blvd, Port St. Lucie, FI.34982
Legal Description:
PropertyTax ID #: 3327-314-0021-0000
Lot No.
Site Plan Name: PGA Sales Center - gfl e. Ot 7G4); r. ;,*1JS Block No.
Project Name: PGA Sales Center - 1'64f-ER 6tli[.e".q t S
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of,a Fire Alarm System. r_i- r'\ r �1
CONSTRUCTION INFORMATION:
itiona wor to e e orme un
11HVAC []Gas Tank
er t is permit— c hecka
[:]Gas Piping
app y:
❑Windows/Doors
_Shutters
FidQE
❑✓l Electric E] Plumbing
Sprinklers
1:1 Generator
Roof
Total Sq. Ft of Construction:
SQ of First Floor:
Cost of Construction: $1. 13,885.
�Ft.
Utilities: 1] Sewer E]Septic
Building Height:11
OWNER/LESSEE:.
CONTRACTOR:
Name Reserve Realty & Inv CO LLC
Name: Ed Zimmerman
Address:4455 Military Trail, Ste #102
Company: Advanced Alarm Service Inc
City: Jupiter State: F1
Zip Code: 33458 Fax:
Phone No. 57(olf(e
Address: 1253 Okeechobee Road, Ste B-1
City: West Palm Beach State: Fl_
Zip Code:33401 Fax:561833-1907
Phone No. 561 833-7099
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: advancedalarm@hotmaiLcom
State or County License: EF0000979
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,R.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name:
x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
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 attorney before
commencinia work or recordine vour Notice of Commencement.
—Signature of Owner/
STATE OF FLO DA
COUNTY OF In-) I�tC C%l
The for oing instrument was acknowledged before me
this aday of _ A?Ci 1 20 L'5-by
STATE OF FLOR A I -
COUNTY OF PRIM AcP`-
Theforgo g instrument was acknowledged before me
this22 day of � 20 1Jr by
(Name
4SI�nAuPubtic-ate oiFIorida) (SignaVire'oublic-Sta a of Florida )
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. EEZJBZ %o' (Sealjj
�#AAKAa MARY V. DAVIS
At
r mr wtnhny510N ®EE 861979 GATE OF FLORIDA
•,• ' = EXPIRES: January 12, 2017 . Comm# EE218US Revised07l15/2014 'AP,'E;n. SUMTNuNNeryNWOUrW&Wers E1�1res7/31/201R
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