HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONW APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED <lr)
Date:
SCANNED
BY
St. Lucie County
Permit Number: I I U 611160
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
C00ty
qt.
terior tenant separation petitions walls to be rebuilt at its original location.
t
PAOPOSED IMPROVEMENTILO
Address: 5192 North Kings Hwy. Turnpike feeder Rd., Fort Pierce, FL
Property Tax to #: 1301 — 615 — 0079 — 0009 Lot No. 18, 19, 20,
Block No. 171
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
Additional work to be performed under this permit —check all that apply:
—Mechanical
Electric
Gas Tank
— Plumbing
Total Sq. Ft of Construction:
— Gas Piping
— Sprinklers
rnqt of Construction: SAMMO-4ko;
Shutters
Generator
Sq. Ft. of First Floor:
—WindOW5/Doors
Roof _ Pitch
Utilities: _Sewer _Septic Building Height:
' N L
Name Lakewood Park Plaza, LLC
C T OR:
Name: Nelson Duque apolinarano
Company. Automatic entrances Inc.
Address: 8963 Stirling Rd., Suite 101
Address: 14300 NW. 4th St.
City: Cooper city Florida State:
Zip Code: 33328 Fax- 954-432-7339
Phone No. 954-432-0272
E-Mail: gspertuto@accountinglinkUSA.com
City: Sunrise State: Flonda
Zip Code: 33325 Fax:
Phone No 954-931-3758 cell office 954-851-1300
E-Mail James@,AEldoo�s.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License_�CC 152 — 2428
if value of construction is 5z5uu or more, a ijECGijUL. �.LIUE W. ------
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
1;)
IDR EMENTAL N5TRPc7rI0N L EN NFOR MATION:
PIP
DESIGNER FIN JEER: 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: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby m ade 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
WIT H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
A
Signature of Own Viessee/Contractor as Agent for Owner
Signature of Contr5ctor/U Holder
STATE OF FLORIDA
STATE OF FLORI�Z�
COUNTY OF
COUNTY OF
The f �ing instrurpen was acknowledged before me
thismdayof jn) 261_q by
The f9irgoing in me t was acknowledg d efore me
this_�� day 2yby
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known VXOR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(?
A"' )(0, Qf4�-
(SIgnature of Not- D�t;,_ -f
Signatur
f Not ub'c-S of Flo ida)
IIARBARAC.CRUZ
D. il
Commission No. myc MI4SM#GGGVJM
OMM
Commissic
OGG a
EXPIRES: September M2020
EXPI Febamy24.2022
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Kev. 21 // 19