HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ff
Date: Permit Number: I " W •0a1`f
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Building Permit Aprig Qp JUAf 1,193?� Planning and Development Services p f%
Building and Code Regulation Division .St. Lucie C(111nt� St wale C/o ity
2300 Virginia Avenue, Fort Pierce FL 34982 �4
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Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential F�
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7151 SOUTH FEDERAL HWY., PORT ST LLUCIE, FLORIDA
Legal Description: LONG LEGAL - SEE ATTACHED
Property Tax ID #: 3422 2110010 000 6 Lot No.
Site Plan Name: ST LUCIE PLAZA (EXISTING Block No.
Proiect Name: INTERIOR TENANT IMPROVEMENTS FOR AMERICAN FREIGHT
Setbacks Front EXISTING Back: Right Side: Left Side:
IDETAILED DESCRIPTION OF WORK: III
INTERIOR ONLY; COMBINE 2 UNITS, (7151 & 7149); CUT OPENINGS BETWEEN UNITS;
REPAIR EXISTING TENANT SEPARATION WALL; REPLACE 2 EXISTING TOILETS & 1 DRINKING
FOUNTAIN; NEW LIGHT FIXTURES IN 7149; CHANGE -OUT 1 EXISTING 12.5 TON A/C UNIT & 4
NEW RTU A/Cs FOR 7159. FIRE SPRINKLER & ALARM WORK & PERMIT BY OTHERS.
CONSTRUCTION INFORMATION:' III
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I�I✓HVAC Gas Tank DasPir _Shutters ❑Windows/Doors
Z✓ Electric Plumbing Sprinklers Generator Z Roof Roof pitch
Total Sq. Ft of Construction: 20,778 S Ft. of First Floor: 20,778
Cost of Constructio \S 165,000 r �_ UtilitiesSewer 0 Septic Building Height:
OWNER/LESSEE:` ,
CONTRACTOR:
Name PORT ST LUCIE PLAZA I, II, III, LLS
Name: DAN SHAWVER
Address:112 PHYLIS CT.
Company: D S GENERAL CONTRACTORS, INC.
City: ELMONT State: NY
Zip Code: 11003 Fax:
Phone No.
Address: 2032 SE GIFFEN AV.
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax: 772 335-0375
Phone No. 7720335-0035
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: INFO@DSGENERALCONTRACTORS.COM
State or County License: CGC 015943
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
x Not
Name: MICHAELANOERSON
Add ress:-7020 PROVENCETOWN LN.
City: PORTSTLUCIE State; FL
Zip: 34952 Phone: 772 418-2118
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name: _
Address:
Zip: Phone: I 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 t ur property. A Notice of Commencement must be orded and posted on the jobsite
before the ' insp ction. If yoy-intpnd to obtain financing, consu it lender or anjaitginey before
STATE OF FLORIDA. � / STATE OF FLORIDA
COUNTY OF `fir 11 . COUNTY OF S
The forgoing initrIument was acknowledged before me The forgoing instru ent was acknowledged before me
this ill- day oA _N"Tt& 20Lby this P day of 20 E by
QaA e Q 4S-Cl... i .o oUn:i
(Name of person acknowledging) (Name of person acknowledging)
,Wgnature of Notary Public-Sta of Florida) u e of Notary Public -State ktloricla )
Personally Known OR Produced Identification Personally Known OR Produced iden I Icatio
Type of Identification Produced Type of Identification Produced .e p1NGHH Ida r
SI L. O . vicl . Ln • Is. D `� Stain Zp1
(0�„ Public - 0,
Commission No. (Seal) mmission No. ;tot`y E%ptcec�°�249
c0�nmissi0n Notary Assn.
r0m hNaClWal
rl0lary Public
Revised C17/15/2014_h� _' - ,�,��cmm.Exci�esDec2o,zota ep°
.^ ;' l• = i.7.r Commission # FF 177249
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