HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1�� 15 �� SCANNED Permit Number:
BY
W St. Lucie County
Sri
Building Permit Application SEA 2QS9
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
PERMITTYPE: Fire
'�
Address: 7526-7567 US Highway 1 Port St Lucie FL 34953
Property Tax ID #: 3422-858-0001-000-7
Site Plan Name: SEC Prima Vista
Project Name: SEC Prima Vista
Like for Like replacement of existing fire alarm
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 38.240
Cost of Construction: $ 41,595.00
_ Gas Piping
_ Sprinklers
Sr. Lucie County,
Lot No.
Block No.
_Shutters _Windows/Doors
_ Generator _ Roof Pitch
Sq. Ft, of First Floor:
Utilities: _Sewer _Septic Building Height:
DOWNER%LESSEE
'
CONTRACTORName
Prima Vista Crossing LLC %aSoutheast Centers LLC
Name:Steven Hatch
Address:1541 Sunset Dr Ste 300
Company:DynaFire Inc
City: Coral Gables State: _
Zip Code: 33143 Fax:
Phone No.407-557-0482
Address:109B Concord Dr
City: Casselberry State: FL
Zip Code: 32707 Fax: 407-831-1347
Phone No407-637-8396
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail engineering@dynafire.com
State or County License EF20000528
It 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.
MORTGAGE COMPANY: _ Not Applicable
Name:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
Cfty State:
Zip: 'Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
BONDING COMPANY, _Not Applicable
Name:
Address:
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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with an) applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult wRh 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,
accessary structures, swimming pools, fences, walls, signs, screen roams and accessory uses to another non-residential use
awARNING TO ORNER: YOUR FALURE TO RECORD A NOTICE OF COMMENCEME " MAY RESULT IN YOUR PAYING
TRICE FOR INPROVEWNTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB sTiE BEFORE Tim FiRsT INSPECTION. II TOu INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER.OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.°
Signature
'Contractor as Agent for Owner
STATE OF FLORID STATE OF FLORIDA
COUNTY OFF/� COUNTY OF r+CT. Lue_ie
The fo oing Instrume t s acknowledged before me
this � day of A r 20L2 by
l�rran� �odrrgdez Rs �
Name of person making Mitement.
Personally Known 1/OR Produced Identification
Type of Identification
Produced
Nodd W6�0 �3
REVIEWS I FRONT I ZONING
COUNTER REVIEW
Commisslon ii G
Expires October
The fo oing instrument was acknowledged before me
thisMay
d-ay of t I— `hPA 20 jQ by
CpL
C STD. en 1) _t -_h
Name of person making statement.
Personalty Known OR Produced Identification
Type of Identification
Produced
RM
CZ
SUPERVISOR PLANS VEGETATION SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW,.,
\0%No -d3 0
SUP,PLENlEN7AL�CONSTRUCT)ON.LIEN
LAUV`INFORMATIONF
,
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: _Not
Name:
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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
SignA C tr ctor License older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF -1>,or+ St. L- Ue_1 e
The forgoing instrument was acknowledged before me
The for Ing instrument was acknowledged before me
this _ day of . 20_ by
this: day of 5fpJgAJMJ 201Q by
aearen 4aieh
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
Produced
y
Notary Public State of Flo
(Signature of Notary Public -State of Florida)
(Signature of Notary Public- Stat o'f t &;T; i won cG 3aa7
41,,E)ray Expiren 06/13/2023
Commission No. (Seal)
Commission No. rii3l'Te�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19
\,\10-d31
0
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