HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
WIIIII=ill&
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
rtKlVll I I yNt: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: 7310 Indrio Road
Property Tax ID #: 1314-144-0000-000-0
Site Plan Name:
Project Name:
7- Eleven
DETAILED DESCRIPTION OF WORK:
.�.u„ vvcA 01V" 1 F--abt eievduan ana rmai electrical connection to existing electrical
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters
X Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction: 52.5 Sq. Ft. of First Floor: _
Cost of Construction: $ $1320-00 Utilities: —Sewer —Septic
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNERAESSEE: CONTRACTOR:
Name Indrio Retail Properties LLC Name: Joseph Adinolfe
Address: 2129 Via Fuentes Company: Alternative Sign Group Inc
City: Vero Beach State: FL Address: 10130 Northlake Blvd
Zip Code: 32963 Fax: City: W P R State: FL
Phone No. Zip Code: 33412 Fax:
E-Mail: Phone No 5f1_79?_A97?
Fill in fee simple Title Holder on next page ( if different E-Mail Ricky@as-gsign.com
from the Owner listed above) State or County License ES12001049
If value of construction is S2500 or more a R�rnrxnm to -+.,tee ..c r,....._ ___
--
---- -, - .......... L0 ..���encernenL is requirea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
❑ESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: EASY SEALS
_
Name:
Address:_ 1200 N Federal HWY
Address:
City: Boca Raton State: FL
City: State:
Zip: 3-37B.9 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
r)%A1M:R/ rnn,TOArrno Acumitir. .
_ _ _ . _.., __...... — — - 111 , MNN„l.alIU[I is hereby mace 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.
is Inc County
with any applicable' Home Owners Association ru es,bylaws or andpcovenants that build
drestrict oJrproh bit 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 IIN 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.
J
Signatu a of wner/ Lessee/Contractor as Agent for Owner
Signat re of ontractor/License Holder
STATE OF FLORIDA r
COUNTY OF -/—•--'
STATE OF FLORIDA
COUNTY OF
The fpWing instruM was agknowledged before me
this L_ day of
The f�r°g¢ing instru nt w s a nowledged'Nefore me
2�by
this I day of f-- 2b by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identi
Type of Identification
Personally Known '" OR Produced Identification
Produced- P��ao�FF o�a�
Type of Identification
Produced
C�P� \,c'Stat�q,��g1p13
' d°tar! pm�sS�O� e5 ago aN PSs�
N MAO,NCo F�otida
l r vu ' •,, tY �b1ic # �� 9�a51013
.. �°omm E1P\0rat�
of
•' Q N CComms� p%T apN°�aN Assn•
(Signature of Notary Ri •..,oaf ;:e°���b
(Signature of Notary Pu
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 217 TO