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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONdo ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTER Date: 1 la3' \5 Permit Number: \ 5 b1- Q3 y 5 -Id g E Ilfl I SCANNED Bu) Inl� e r 3 ►p lication St. Luce County Planning and Development Services Building and Code Regulation Division 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 arrow at the end of line (�, � � � � --.M A PROPOSED'IMPROVEMENT LOCATION: Address: 8313 eeiime��cv�c���i"vmc— ril Legal Description: 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: Left Side: Lot No. Block No. DETAILEDDESCRIPTION OF WORK: I Tenant Improvement Lang Realty, Interior drywall partitions, flooring, acoustic ceiling, mechanical, electrical and plumbing systems Unit Address 8313 I CONSTRUCTION INFORMATION: III onaiworxtooe HVA Electric errormea ID unaertmspermit- Gas Tank Plumbing cnecKall apply: Gas Piping _Shutters ❑ Windows/Doors Sprinklers Generator E Roof Z Total Sq. Ft of Construction: 1,000 Cost of Construction: $ 98,175 S Ft. of First Floor: 1,000 Utilities:Sewer 11Septic Building Height: OWNER/LESSEE: CONTRACTOR:' Name Main Street Village Center LLC Address: 21045 Commercial Trail Name: Michael Jacquin 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. SUPPLEMENTAL CONSTRUCTIONLIEN'LAVINFORMATION: DESIGNER/ENGINEER: Name: Donadio&Associates _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: sos 17th street Address: City: Vero Beach Zip:32s05 Phone: State: FL City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable 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 firq inspection. If you intend to obtain financing, consult with lender or an attorney before - / -V STATE OF FLORIDA COUNTY OF St waa The forgoing instrument was acknowledged before me this _23_ day of _July . 2015 _by Michael Jacquin 1 (Name of person acknowledging Personally Known ✓ OR Produced Identification Type of Identification Produced Commission No. FF187151 STATE OF FLORI[ COUNTY OF sued. The forgoing instrument was acknowledged before me this 2' day of "'y 20 15by person of Notary Public- State Personally Known ✓ OR Produced Identification. Type of Identification Produced ,die State of Florida mmission No. FF187151 Kraum nission FF 187151 _ MY Conlnllaslon FF 187151 Revised07/15/2014 °' MY eaov11nle -11 FF REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ALL APPLICABLE INFO MUST BE COMI -_ _D FOR APPLICATION TO BE ACCEPTED Date: „7- ' % to SCANNED Permit Number: S L-C. BY St.LupitrE9gf►Y fE9 09 21115 RECEIVED Building Permit Application FEB -9 2016 Planning and Development Services � ? G 0 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial , X Residential PERMIT APPLICATION FOR: b Orr ef.,ov0,*%6 � Address: 83 13 j -o I (`A Tr c,k. 1 v X; IA 1 A Poo+ S` + L kc" �.� 1 Qe Legal Description: So rye �'ow,.rv�@r�,� � j V LA- 'r X oy �yi, Wall V. J i f e tiQ"%c- Z_ fPR39-940LoA-A- (o.933.AC)(©kR-C`/%-17AS-) PropertyTaxlD#: 33o1?-IR02 -0001-000- I Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Block No. UETA`ILEp gESCRIPflON C!FrWQRK. z vr„. lAN�fL flAAW6, tkAXkL / �Lu�l(hV�G1(s(hGt(UC i elsf&W G `Tltjs, {vvL (50 -14 Fr C6MN4AW(L _59e5 - Naamonai worK to oe perrormea unue1 uM au umwNNly. vHVAC _Gas Tank _Gas Piping _Shutters —Windows/Doors V'Electric plumbing _Sprinklers _Generator _Roof Total Sq. Ft of Construct' J,,? a 9 Sq. Ft. of First Floor: 4.3 D? Cost of Construction: $ i 5, M 6 6 Utilities: _Sewer _Septic Building Height: I City: State: Zip Code: 1.?V 3 6 Fa)c Phone No. i'» - 979- (PIX I- E-Mail: +kS nGOC%e_ 0 IMdc Uisoy,C611A Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: �(J(tJ f- ISUKIc6� Company: Ca Address: f D t (n 6L X-,rla6[C S i S-`ID-L City: TCJipCo JR State:-f—L Zip Code: _334-0 Fax: Phone No. �(.6OZ-w3Q-4.C— E-Mail: V- L9u94V_1f4) A LA-A+'Ll(!_Mt,1A Q.epy( State or County License: C (tee= /Sri-I`14 3 construction is $2500 or more, a RECORDED Notice of Commencement is DESIGNER/ENGINEER' _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: ss ta'k".s Name: _ Address: (o 0 S 011A ' rm Address: City: %—ro c2c State: F1 City: State: Zip: 32906 Phone: Z)p: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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 Count yy makes no representation that Is granting a permit will authorize the permit holder to build the subject structure which is in co et with any applicable Home Owners Assoclation 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 1 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 commencinE work or recordine vour Notice of Commencement. _Signature Ownessee/Agent JtV) P. j31.4e f STATE OF FLORIDA�, I l COUNTY OF �3i - L' I The f r ing inst e t was acknowledgec� before me this dayof_ 20/149_by Personally Known OR Prody� Iller ti ification Type of Identifrcatlon Produced ff-� JAL Commission Notary Public - Slate of Florida Revised 07/15/2(}�Lh Commission # EE 187876 , Bonded Through National Notary Assn. STATE OF FLORIDIQ J L COUNTY OF �1 The fo g Ing Instr of s acknowledg rl before me this �day of. 'Vy .20 IV by (Name of person (Signature State of Florida) Personally Known ORProdutedIdentifigation� Type of Identification Produced -iceZ— M Commission EDNA Notary Public - State of Florida My Comm. Expires Aug commission # EE 187876 Bonded Through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS