HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6.9- %,�— SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECE'IV
JUN - 9 2015
Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click -arrow at the end of line .
I'PROPOSED,IMPROVEMENTLOCATION: ,
Address: 8311 Ocmmeree t;enter'Drive
Legal Qescription: Reserve Commercial Tract "A" North Main Street Village Phase 1 (PB 39-22) Lot A (0.933AC) (Or 3547-1725)
Property Tax ID #: 3327-803-0002-000-2
Site Plan Name:
Project Name: Main Street Village Tenant Improvement
Setbacks Front�Back: _� Right Side: Side: .f
DETAILED,DESCRIPTIONOF WORK:'
Lot No.
Block No.
Tenant Improvement Lang Realty, Interior drywall partitions, flooring, acoustic ceiling, mechanical,
electrical and plumbing systems Unit Address 8311
ICONSTRUCTION INFORMATION: I III
rAaamonarworKzooe errormea unoerimspermn—cnecKall inui apply:
:HVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
:Electric Plumbing ❑Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Constructiop 3 S.F GO Sq. Ft. of First Floor: 1,000
Cost of Construction: $ �9t� ��� �'C�J• Utilities: jn Sewer ❑ Septic Building Height:
i
'O W,N ER/LESSEE:
CONTRACTOR;
Name Main Street Village Center LLC
Name: Michael Jacquin
Address:21045 Commercial Trail
Company: Paul Jacquin & Sons, Inc
City: Boca Raton State:FL
Zip Code: 33486 Fax:
Phone No. 772-979-6552
Address: 7348 Commercial Circle
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-466-2806
Phone No. 772-465-2475
E-Mail: tbabcock@mpcadvisors.com
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.
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SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: oonadiospssociates
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 6a917th street
Address:
City: Vero Beach
Zip: 32906 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
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 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 ffjjrs in pection. If you intend to obtain financing, consult w/th lender or an attorney before
commencirffe o or recordine vour Notice of Commencement. / /
Lessee/Agent
Wa1lh c wool 7
The forgoing instrument was acknowledged before me
this 28 day of May 20 15 by
An L
person
Personally Known / OR Produced Identification
Type of Identification Produced
Commission No. FF187151 (Seal)
STATE OF FLORIDA
COUNTY F w=le
The forgoing instrument was acknowledged before me
this 2' day of May 20 15 by
Michael Jacquin
(Name of person acknowledging)
(Signature of Notary Pdblic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. FF187151 (Seal)
04 Notary Pudic State of Florida
Revised 07/15/2014 i Nichole K2um .�" � Notary Pubik,$tata of Florida
+� t My Commission FF iB715t 70 . Nic ole Kra. mG:. '.:.
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