HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6 • ;� . ;D Permit Nu
ST. rr111lI13IM
COUNTY _
F L O R 1 D A
Building Permit Appl
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 9939 ST LUCIE BLVD
Property Tax ID #: 1432-222-0001-000-9
Site Plan Name:
Project Name: Coca Cola
DETAILED DESCRIPTION OF WORK:
New channel letters for Coca Cola. See engineering for spcs.
New Electrical Meter Second Electrical M
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 3533
Cost of Construction: $ 5000
_Sprinklers _Generator
Sq. Ft. of First Floor:
JUN 0 1,1 2020
rmittirlg Department
�t. L Ide County, FL
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE':
CONTRACTOR:
Name Coca-Cola Beverages Florida LLC
Name: Bryan D Vaughn
Address: One Coca-Cola Plaza Atlanta , GA 30313
Company: Creative Sign Designs
City: State: _
Zip Code: Fax:
Phone No.
Address: 12801 Commodity Place, Tampa, FL 3626
City: State:_
Zip Code: Fax:
Phone No 8137498549
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail amentry@creativesigndesigns.com
State or County License ES12000639
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of CJ�211
oht(actor/Licenge Holder
Signature of Owner/ Lessee/Contractor allAgent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFHikb ... h
COUNTYOFKIISmMash
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this E9 day of May 2020 by
this - day of May 2020 by
Mdm Mentry
Bryan p Veughn
Name of person making statement.
Name of person making statement.
Personally Known x R r e I of a'
ersonally Known x OR Prroduce-dddentifiratia
Type Of Identification _ 4"y'.v Pie.,, ALE NANICOLE SCHLENKER
Yi
Type of Identification ,aea' o., ALENA NICOLE SCHLENKER
Produced `s • •��� Notary Public -State of Florida
roduced r °: ct¢: Notary Public - State of Florida
Commission N GO 217050
h'.=��:ay, { Commission M GO 217050
202
My Comm. Expires May 13, 2022
My Comm. Expires May 13,
Bonded throw h National Notary Assn
(Signature of Notary Public- tate•rohbkacida°)
(Signature of Notary Public- StatYBf`Ffo` FU51
Commission No. (Seal)
Commission No. (Seal)
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