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All APPLICARLE INFO MUST RE COMP[FrFD FOR APPLIC IONTOBE CEPTED
Date:
SCANNED PermitNumber: Pon
BY
St. Lucie County VtEC%VED
Building Permit Application AUG 2 2 7019
Planning and Development Services
Building and Code Regulation Division Pe,mitting.ceplartment
St. LUCIP, CountY
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT TYPE: Interior tenant separation petitions walls to be rebuilt at its original location.
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',PRdPOSED IMPR0'VEME-NT1`lL-0CA-T10N:� �P'
Address: 5190 North Kings Hwy. Turnpike feeder Rd., Fort Pierce, FL
Property Tax ID #: 1301 — 615 — 0079 — 0009 Lot No. 18, 19, 20,
Site Plan Name:
Project Name:
Interior separation walls to be rebuilt at its original location per plans.
Installation of electrical receptacles as shown on plans
I.-C6 R)LICT-1,0N INFOR I MATIOWM
Additional work to be performed under this permit —check all that apply:
Block No. 171
—Mechanical — GasTank Gas Piping — Shutters — Windows/Doors
— Electric — Plumbing Sprinklers — Generator — Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: 0
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
ES�
�PNTRACTO
Name Lakewood Park Plaza, LLC
Name: Nelson Duque apolinarano
Address:.8963 Stirling Rd., Suite 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: Flanda
Zip Code: 33325 Fax:
Phone No 954-931-3758 cell office 954-851-1300
E-Mail: gspertuto@accounfinglinkUSA.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 GCC 152 — 2428
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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FOR ATION:
s
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 m a Mi estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions w chmayapply.
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 AIN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMIENCEMENT2,
as Agent for Owner Signature of Confractor/��Ve Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF ILO L�) CL-ve-V I COUNTY OF &4
The Ing instrurvAent was acknowledged before me
this f;"7c'dayof �DVI�j 2011 by
Name of person making statement.
Personally Known ii� OR Produced Identification
Type of Identification
Produced Z2 C/614vie-1
Aoca'-X� o 41:f:js
(Signature of Notary Public- State of Florida I
611,
Commission No. 11 n', all BAR=C.CRUZ
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EXPIRES: SePtenter 17. 202D
REVIEWS I FRONT ONING
COUNTER I ZREVIEW
The fgToing inst /as acknowledged before me
t 1 s.7q clayof.r= 264 by
h �f_ y a
Name of person making statement.
Personally Known __ZOR Produced Identification
Type of Identification
Commission
SUPERVISOR I PLANS
REVIEW REVIEW
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Notary PuLcLSIiee of Florida) Z�
SUZAN QAIMt%
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EXPIRES: Febnihqi4,2022
A31: I A I 1UN bl:A I UK I Lh I MAP (3RO
RE I IREVIE� REVIEW