HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED +�
Date: SCANNED Permit Number: f0 D s _o' (sy
BY
o St. Lucie County RECEIVED
Building Permit Application MAR 15 1010
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION: i
Address: 7550 Pruitt Research Rd. Fort Pierce FL. 34945
Legal Description: TREASURE COAST RESEARCH & EDUCATION PARK - CORE CAMPUS (PB 68-27)- QUAD IA (30.69 AC - 1,336,856 SF)
Property Tax ID #: 2314-800-0001-000-3 Lot No.
Site Plan Name: Treasure Coast Research & Education Park Block No.
Project Name: Sunshine Kitchen
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:"
5,009sf interior tenant improvements
CONSTRUCTION+INFORMATION:
Itlonaiwor to e e orme under t—checkIspermit al apply:
❑✓ HVAC LJ Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers D Generator E] Roof
Total Sq. Ft of Construction: 5.009 CIO Sq. FFttt... of First Floor: 5,009
Cost of Construction:5450> 5go Utilities: lr ISewer 0Septic Building Height:
OWNER/LESSEE;
CONTRACTOR:' "
Name SLC BOCC/TCERDA
Name: Michael Jacquin
=Address 2300 Virginia_Blvd._ _ _
_Gompany�P_aul_4cquin & Sons. -Inc.& Sons. -Inc._ _
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-462-1432
Address: 7348 Commercial Circle
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-466-2806
Phone No. 772-465-2475
E-Mail: JohnsonJe@stlucieco.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: CGC060473
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN'LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: EDBArohnects
MORTGAGE COMPANY: x
Name:
Not Applicable
Add res5: 65 Royal Palm Paint
Address:
City: Vero Beach State: FL
Zip:32960 Phone:772se9-a320
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name- Travelers Casualty& suretyof Amedca
Not Applicable
Address:
Address: One Tower square
City:
City: Hamore, CT.
Zip: Phone:
Zip: 061e3 Phone: 860-277-0111
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 contlict 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, consult wi#(lender or an attorney before
� L-
Signature of Owner/ Agent/ Lessee Signature
STATE OF FLORIDA
COUNTY OF st Lade
The for�ggoing instrument was acknowledged before me
this l9 day of k&rCh 20 44 by
17
SCtJTtf'4 Bectultt iey
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
STATE OrFLORID
COUNTY OFsT.Lee-
Holder
The forgoing instrument was acknowledged before me
this Jam_ day of fY) Q rev\ 20_g- by
17
mIGYIQPI '�Orntlth
(Name of person acknowledging )
(Signature o Notary Public -State of Florida )
Personally Known )4 OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Revised 07/1
Commission A FF 235843
My Comm. Expires Jun 2, 2019
Commission No.
Public State of Florida
Commission FF 208475
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