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Date: Permit Number:
•
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
PERMIT TYPE: 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 canopy sign on the South elevation and final electrical connection to existing electrical
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 9.0 Sq. Ft. of First Floor:
Cost of Construction: $ 310.65 Utilities: —Sewer Septic Building Height:
OWNERf LESSEE: 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: 39963 Fax: City: W P R State: FL
Phone No. Zip Code: 33412 Fax:
E -Mail: Phone No__ 561-7;>9-A972Fill in fee simple Title Holder on next page ( if different E -Mail_ Ricky@asgsign.com
from the Owner listed above) 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: 127A9 Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
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
Please
structure. prohibit such
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
Signature of; Co tractor/License Holder
STATE OF FLORIDA) �
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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