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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED PermitNumber: BY St. Lucie Countv Building Permit Application 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 I PERMIT APPLICATION FOR: Demolition nP III LOCATION: Address:- 4500 West Midway Road Ft. Pierce, FL. 34981 Legal Description: Property Tax ID #: 3406-501-0020-000-9 Site Plan Name: New Horizon's of the Treasure Coast, Inc. Storage Facility Project Name: Storage Building Setbacks Front Back: _ Right Side: Left Side: 1D��A,IL,EDDESC--RIPTION�OFW,ORK: Demolition and removal of existing building Lot No. Block No. CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit— check all apply: 11HVAC E] Gas Tank E]Gas Piping Shutters F]Winclows/Doors 11 Electric El Plumbing OSprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 3395 sf. S Ft of First Floor: 'In Cost of Construction: $ 2,000 Utilities.. Sewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Horizon's of the Treasure Coast, Inc. Name: Michael Jacquin —New Addrets:— 4500W. Midway Road Company: Paul Jacquin &Sons, Inc. — City: Ft. Pierce State: FL. Zip Code: 34981 Fax: 772 Phone No. 772-380-3424 Address: 7348 Commercial Circle city: Ft. Pierce State: FL. Zip Code:_ 34951 Fax: 772-466-2806 Phone No. 772-465-2475 E-Mail:— lwakefield@nhtcinc.org Fill in fee simpleTitle Holder on next page (if different from the Owner listed above) E-Mail: scott.kraum@pjsi.com State or County License: CGC 060473 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEME'N'TAL CONSTRUCTION LIEN'LAW INFORMATION: DESIGN ER/ENG I NEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: _ Phone: FEE SIMPLE TITLEHOLDER: _NotApplicable BONDING COMPANY: —Not Applicable Name: Name: Address: Address: City: city: — Zip: Phone: Zip: — OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conlylict with any applicable Home Owners Association rules, bylaws or and covenants that m estrict or prohibit such ic ayhi structure. Please consult with your Home Owners Association and review your deed for any restrictions w h 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, consuYl wth lender or an attorney before commencinE work or recording vour Notice of Ci - Lain an (R.') 91'9� . � 4 LefsseEyContra(Aor as AgeNt for Owner signah Vr t r tor/License Holder tFLIOVRIDA A STAT COUNTYOF J —1. L.V CA t�_ COUNTY OF S7-- Lu, Jix— The forgoing instrument was acknowledged before me The forpoing instrument was acknowledged before me this (R dayof 20 1 rr by this = day of :� izre�13*n 1--- 20 by 5-0—r+rl 2) - F) * V-'ei�w D POICH14Q, 7FAfQ,J[A/ — Name of person making statement Name of pers2o�npaking statement Personally Known -I' OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Procluced_�. I Wary Pubtic State of Hinkle regary S Kraum W . . IFF 221215114 Ex�vkcs 05119mg (Signatu �rW "', r Audi 10, 2 Commi i ria", V, a Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17