HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'6,
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date:'I SCANNED Permit Number:
BY RECEIVED
St. Lucie County
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Applicatio 1
APR 2 6 2019
BT. I ugle County, Permitting
Commercial X Residential
PERMITTYPE: Installation of exterior door
PROPOSED IMPROVEMENT°LOCATION: °
Address: 5190 — 5192 — 5194 — 5196 — 5198 Turnpike Feeder Rd., Fort Pierce, FL
Property Tax ID #: 1301 — 615 — 0079 — 000912 — a — BL K lots number 18, 19, 20 map 13/12 S
Site Plan Name: Lakewood Park Plaza
Project Name:
Lot No. 18, 19, 20
Block No. K
dETA1LED DESCRIPTION OF WORK: a +,
Installation of Five exterior door
CONSTRVCTIONINFORMATION
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ $2200.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
.OWNER/LESSEE
CONTRACTOR:
Name Lakewood Park Plaza LLC
Name: Nelson Duque Apolinado
Address:8963 Stirling Rd.,#101
Company: Automatic Entrances Inc.
City: Cooper city Florida State: _
Zip Code: 33328 Fax: 954-432-7339
Phone No. 954-432-0272
Address:14300 NW. 4th St.
City: Sunrise State: F'odda
Zip Code: 33325 Fax:
Phone No 954-851-1300
E-Mail:-gsperduto@accountinglinkusa.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail James@AEldoors.com
State or County License CGC 1522428
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name:
City:
Zip:,
. CONSTRUCTION LIEN LAW IN
EER: _ Not Applicable
State:
Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City: City:
Zip: Phone: Zip: Phon
Not Applicable
_Not Applicable
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN/IATORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
i +4��
Signature of Owner/ ssee/Contractor as Agent for Owner
Signature of Cofitractor!,Ueose Holder
STATE OF FLORIDA
STATE OF FLORIDA /J
COUNTY OF I�e6LJa 0
COUNTY OF O LtLWCZ_ i
The forgoing instru ent was acknowledged before me
The forg ing instr�upe_nt- w••as �acknowledged before me
this, day of 20� by
this' day of J�� 20Lf by
Name of person making statement.
Name of person making statement.
ers�nally Known OR Produced Identification
Personally Know OR Produced Identification
Type o ca ion
ype o entif cation
Produced
Produced
(Signature
,- State of Prorida
(Signature JfNotary blic- to of Florida )
Commission
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Commission '...... SUZAND.JIMFJR
EXPIRES:Seplember17,2020
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