HomeMy WebLinkAboutBuilding permit app,CVS FORT PIERCE FACE REPLACEMENT_09032020All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-2-2020
Permit Number:
o
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: FACE REPLACEMENT CVS MONUMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 4999 S US HIGHWAY 1 FORT PIERCE FL
Property Tax ID #: 3403-244-0000-030-5
Site Plan Name: CVS
Project Name: CVS FACE REPLACEMENT MONUMENT
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING FACE REPLACE DOUBLE SIDED FACES FOR MONUMENT
New Electrical Meter NA Second Electrical MeterNA
Lot No. NA
Block No. NA
CONSTRUCTION INFORMATION: 7
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 48 SF
Cost of Construction. $ 1250.00
_ Gas Piping
_ Sprinklers
_ Shutters _ Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor: 12074
Utilities: —Sewer _Septic Building Height: 1
OWN ER/LESSEE:
CONTRACTOR:
Name CVS
Name:JAMES M NOLE
Address: 4999 S US HIGHWAY 1
om an :ST LUCIE SIGNS LLC
City: FORT PIERCE State: _
Zip Code: 34982 Fax: NA
Phone No.772-464-3308
Address:1147 HERNANDO ST
City: FORT PIERCE State: FL
Zip Code: 34949 Fax: NA
Phone No 772-971-6363
E-Mail: NBARBER@ICONID.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail SALES.STLUCIE@GMAIL.COM
State or County License ES12001557
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: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: x 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 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.
a P xf- I'x
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Signature of O er/ Lessee/Contractor as Agent for Owner
Signature of Co actor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF SAINTLUCIE
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this 3 day of SEPTEMBER 2020 by
this 3 day of SEPTEMBER 2020 by
JAMES M NOLE
JAMES M NOLE
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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Commission No. GG2616 Bonded through Not
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