HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 a 2 a Permit Number: a a05�0 sa`�
Building Permit Applicati n MAY 21 2020
Planning and Development Services ST. Lucie County, Permitting
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: 5000 DUNN RD FORT PIERCE FL
Property Tax ID #: 3403-502-0194-000-3
Site Plan Name:
Project Name: TREASURE COAST HOSPICE
DETAILED DESCRIPTION OF WORK:
ADD AN ADDITIONAL TENANT PANEL SIGN TO THE BASE OF THE EXISTING FREESTANDING
MONUMENT SIGN ALONG MIDWAY RD.
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
9 Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 70
Cost of Construction: $ n fDO , 00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE;
CONTRACTOR:
NameHOSPICEFOUNDATION/MARTIWSTLUCIE
Name: ROBERT GRALAK
Address:1201 SE INDIAN ST
Company* FLAMINGO SIGNS LLC
City: STUART State: _
Zip Code: 34997 Fax:
Phone No. 4p55 - 4140d
Address:4444 SE COMMERCE AVE
City: STUART State: FL
Zip Code: 34997 Fax:
PhoneNo772220.7377
E-Mail:MFDoapit-
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail FLAMINGOSIGNS@GMAIL.COM
State or County License ES 12001146
iT value of construction is 525W 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: _
Name: JAMES FAIT
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:1963swPAWC1TYar
Address:
City: PALMOITV
Zip:34994 Phone263.2677
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not 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
W-UHTOUR--L—EN—D—ER—O—R-AU4TFORNEY BEFORE RECORD! OUR NOTICE O MENCEMEMT."
Signature
STATE OF FLORIDA
COUNTY OF
as Agent for Owner
The Orr
instrument was acknowledged before me
this I if day of MA7 .20 20r by
STATE OF FLORIDA
COUNTYOF A44r //I
The forgoing instrument was acknowledged before me
this 18' day of AVA r 202-6 by
AOS&A7 kAllL/t/ AWL-A-r j�—✓Lic dx
Name of person making statement. Name of person making statement.
Personally Known V OR Produced Identification
Type of Identifi ation
Produced PM/-sA`s 4 1�t.'fsr
Personally Known ✓ OR Produced Identification
Type of Iden cation
Produced 111✓,-/14re-
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Public State of Florida
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Commission No. v MY lWonGG072776
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER I REVIEW REVIEW REVIEW REVIEW
DATE
DATE
Notary Public State of Florida
R Rice
My salon GG 072776
Expires 04/03/2021
SEA TURTLE I MANGROVE
REVIEW REVIEW