HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CO ETED FOR APPLICATION TO BE ACCEPTS,
Date: 8-13-16 Permit Number: 1604-0149
SCANNED
BY
Building Permit Application St. Lucie county
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Fence III
Address: 3051 Industrial 25th Street Ft. Pierce, FL. 34946
Legal Description: AIRPORT INDUSTRIAL PARK -UNIT ONE REPLAT OF LOTS 2-19 BLK6-BLK6 LOT 9 AND LOT 1OLESS TO FLORIDA DOT AS IN OR 1051-1190-(OR 2179-2W)
Property Tax ID #: 1429-502-0009-0004
Site Plan Name:
Project Name: -Treasure Coast Food Bank Kitchen Renovation
Setbacks Front Back: Right Side: Left Side:
8' high Fence + gates. See plans 1603-0288.
❑aILIOnaI worK to De
OHVAC
Electric
nerrormea
under Lnls permit— cnecK all t at
Gas Tank []Gas Piping _
Plumbing Sprinklers
apply:
Shutters
Generator
Total Sq. Ft of Construction:
00
Cost of Construction: $ &XID--
S Ft. of First Floor: _
Utilities:Sewer Septic
Lot No. 2
Block No. 6
Windows/Doors
0 Roof
Building Height:
OWNERf.LESSEE .° ..
CONTRAGI
OR
Name Treasure Coast Food Bank
Name- Michael Jacquin '
Address:401 Angle Road
Company: Paul Jacquin i£ Sons, Inc.
City: Fort Pierce State: FL
Zip Code: 34947 Fax: 772-489-5673
Phone No.772-489-3034
Address: 7348 Commercial Circle
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-466-2806
Phone No. 772-465-2475
E-Mail: Imorales@tcfoodbank.org
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: michael.jacquin@pjsi.com
State or County License: CGC 060473
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
Name: —
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
17rT:Pii�l
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _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 r9f.Rrded and posted on the jobsite
before the first inspection. If you intend to obtain financing, con jult le der or an attorney before
Signature of CiXinerLWent/ Lessee
STATE OF FLORIDA
COUNTY OF 5+ LUc l' �
The forgoing instrument was acknowledged before me
this ILP day of i�cUG� 20 L(4 by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. Fr- 0WUko23 (Seal)
y,�> LISSETE MORALES
Revised 07/15/2014 11 0(� Commission a FF 886823
i My Commission Expires
Holder
OF FLORIDA
YOF Si.WC6
The forgoing instrument was acknowledged before me
this 13 day of August2016 20�q by
Michael Jacquin
(Nas n me erknowledging )
gn t of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. FF 23251+ (Seal)
Notary Pudic State of Florid
Gregory S Kraum
My Commission FF 232514
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FRONT
COUNTER
FNIWMINOW
rc
LANS
REVIEW
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DATE
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INITIALS
e
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I O Date: 03/2112616 SCANNED Permit Number: Ly
BY
ct RECEN � E'D
spa Lucie County
t Building Permit Application APR - 7 2016
Planning and Development Services Public Worlcs
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x _ Residential
PERMIT APPLICATION FOR: Fence ❑ III
DRr1Pr1CG11`iKADRrI\/GfiAPKlTI nf•A-rinm `' _ .
Address: 3051 INDUSTRIAL 25TH STREET, FORT PIERCE, FLORIDA 34946
Legal Description: AIRPORT INDUSTRIAL PARK41Nrr ONE REPLATOF LOTS 2-19 BLK6-BLK6 LOT 9 AND LOT I ESS TO FLORIDA DOT AS IN OR 1091-1190.(OR 217M447)
Property Tax ID #: 1429-502-0009-00014
Site Plan Name: AO.01 SITE PLAN
Proiect Name: TREASURE COAST FOOD BANK RENOVATION
Setbacks Front Back: Right Side:. Left Side:
Lot No.2
Block No. 6
(DETAILED DESCRIPTION -OF WORK:
y Y
CHAIN LINK FENCE APPLICATION - REFER TO SHEET A0.00 & A0.01: ALSO REFER TO
I'CONSTRUCTION, INFORMATION: I�I
A(1(1Mlnna wn�tn�na fnrmP�ilnr�ar YFlc narmrt—r�TarF all that annv
E1HVAC Li Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ rvO
Piping LiShutters ❑Windows/Doors
nklers E]Generator 03 Roof
S Ft. of First Floor: _
Utilities:ll Sewer O Septic
Building Height:
OWNER/LESSEE: "'
CONTRACTOR.
Name
Name:
Address:
ompan • mit�-�l^
City: State: _
Zip CodeZ Fax:
Phone No.
Address:
--1 �
City: State. /
Zip Code:-- Fax:
Phone No. _� J or chi �ce 1
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County Uc: s
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIONLAiEN LAW INFORMATION: `
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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, consait-vlrith ler)der or an attorney before
Lessee/Agent
STATE43F FLORIDA
COUNTY OF
Ca
The forgojng instrument was acknowledged before me
this 1 9day of Uri t CV-% . 20 l(R by
SATE OF FLORID 1 .
COUNTY OF I BSI
The forgoing instrument was acknowledged before me
this ildayof ftfCV1 20 Ltp_by
1 1 U�_i i-k C Y U"L 73-6_m2S � OLO Q I Y6
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary
�Public- State of Florida ) (Signature of Notary Public -State of Floridfi )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type�o Idf entification Produced Type of Identification Produced FKL b L
Commission No. IF i— Gj 1,2 16Lc %3
Revised 07/15/2014
L19SETE M Rltd�SBliss n No. V{�l)U (cto (Seal)
commissilen N FF 966623
Mvcommicsio Expires
CHERIE THOMPSON
MY COMMISSION # FF 114664
FYPIRFS- Anril 7n. 2018
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
u