HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONH-
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
'� �'. Mtgdh `- St. Lucie COuntV RECEIVED
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Building Permit Application JUL s 1 B19
Planning and Development Services P
permitting Department
Building and Code Regulation Division +lttln9 c ,Inr„
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERM IT TYPE: Building permit interior tenant separation petitions walls to be rebuilt at its original location
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Address: §10 - '- 5194 North Kings Hwy. Turnpike Feeder Rd., Fort Pierce, FL
Property Tax ID #: 1301 - 615 - 0079 - 000- 9 Lot No. 18, 19, 20
Site Plan Name: Block No. 171
Project Name:
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Interior tenant separations walls to be rebuilt at its original Iocaton. Between unit 5190 and 5192 and 5194 total two intenarwalls. Ins+allaton of walls will be consbuded with metal studs see scope of won,
Installation of electric receptacles on both walls.
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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: Sq. Ft. of First Floor:
Cost of Construction: $ 4 %%(1 Utilities: -Sewer _Septic Building Height:
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Name Lakewood Park Plaza, LLC
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Name: Nelson Duque Apolinarano
Address:8963 Stirling Rd., Suite 101
Company: Automatic entrances Inc.
City: Cooper city Florida State: _
Address:14300 NW. 4th St. _
City; Sunrise State: Florda
Zip Code: 33328 Fax: 954-432-7339
Phone No. 954-432-0272
Zip Code: 33325 Fax: -
E-Mail: GSPERTUTO@ACCOUNTINGLINKUSA.COM
Phone -No 954-931-3758 cell Office 954-851-1300
Fill in fee simple Title Holder on next page ( if different
E-Mail James@,AEldoors.com
State or County License GCC 152-2428
from the Owner listed above)
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.
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DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 AtWRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Con actor/Li a Holder
Signature of Owner//44Con ctor as Agent for Owner
STATE OF FLORI
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STATE OF FLORIDA
COUNTY OF
COUNTY OFLr�
The forgoing instrument was acknowledged before me
day 601
The fo oing inst ent as acknowledged before me
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this of 1 204 by
this day of
U 20LJ by
Name of person making statement.
Name of person making statement.
✓
Personally Known OR Produced Identification
Personally Known ✓/ OR Produced Identification
Type of Identification
Type of Identification
Produced iroLIGQAdp-
Produced
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(Signature of Not
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(Sig of Notary Publi tate of Florida)
Commission No.
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_` .` CGMMIS IiFWR 009353
Commissio ,� •"etc=. S D•UI (Seal)
• o? EXPIRES: September 17, 2020
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DATE
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DATE
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Rev. 2///19