HomeMy WebLinkAboutApplication (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
4 3'=
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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
PERMITTYPE: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: 7310 Indrio Road
Property Tax ID #: 1314-144-0000-000-0 Lot No.
Site Plan Name: Block No.
Project Name: 7- Eleven
DETAILED DESCRIPTION OF WORK:
Install AMC panel and Entrance signacie on West elevation
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction: .09 Sq. Ft. of First Floor:
Cost of Construction: $ _ 281.15 Utilities: _ Sewer _ Septic
OWNER/LESSEE: CONTRACTOR:
Name Indrio Retail Properties LLC
Address: 2129 Via Fuentes
City: Vero Beach State: FL
Zip Code: 19963 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Joseph Adinolfe
Windows/Doors
Roof Pitch
Building Hei&ht:
Company: Alternative Sign Group Inc
Address: 10130 Northlake Blvd
City: W P R State: FL
Zip Code: 33412 Fax:
Phone No 561-72 -9 7
E-Mail Rickygasgsign.com
State or County License ES12001049
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/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: 23789 Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
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 f O ner/ Lessee/Contractor as Agent for Owner
Signatur�'of ntractor/License Holder
STATE OF FLORIDA `"
STATE OF FLORIDA '1j
COUNTY OF /
COUNTY OF
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Personally Known LJOR Produced Identification
Type of Identifica 'o
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Type of Identification
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Rev. D7114