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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 REVIEWS FRONT COUNTER FNIWMINOW rc LANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW REVIEW REVIEW DATE COMPLETE 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