HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEu =
Date: 4::�o ' %° Permit Number:)
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> 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:, SIGN .
PROPOSED IMPROVEMENT LOCATION:.
RECEIVED
FEB 0�9 1011
Permitting DrPartment
St. Lucie County,
Address: 2800 S•Kings Hwy I Fort Pierce, FL 34945 _
Property Tax ID #: 2324-323-0026-000-1 Lot No.
Site Plan Name: Block No.
Project Name: ELITE TRUCK PARTS
DETAILED DESCRIPTION OF WORK:-
INSTALL ILLUMINATED WALL SION,' CONNECT TO EXISTING ELECTRICAL..
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator — Roof, Pitch
Total Sq. Ft ,of Construction: 24 Sq. Ft. of First Floor:
Cost of Construction: $ 975.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: _
Name ELITE TRUCK PARTS
Name:RobertGralak
Address:2800 S •Kings Hwy ,, �,
Company: Flamingo,Signs
City: FT. PIERCE., State: _
Address:4444 SE Commerce Ave
Zip Code: 34945' . Fax:
City: Stuart. State:fl
Phone No.772) 801-0515
Zip Code: 34997 Fax: 220.7768
E-Mail: elitetruckparts@gmail.com
Phone 1\10772.220h77
Fill in fee simple Title Holder ori`nekt page (if different
E-Mail flamingosigns@gmail.com
from the Owner listed above)
State or County License ES12001146
01
a
31
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.
t
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 recorded in -the public records of St.
Luc' the jobsite before the first ' pection. if you In to obtain financing, consult
,,,-Oh lender or an 'attorneybe commencin wor r recordingour Notice o mmencement
ev.
SUPPLEMENTALCONSTRUCTION LIEN -LAW INFORMATION:.
•
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
x Not Applicable
N a m e: �AMEs PAIT
Name:
Address: 1963 SE PALM CITY RD
Address:
City: STUART
State: FL
City:
State:
Zip:3499a Phone7�2.zs3.2s77
.Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
X Not Applicable
Name:PowerDieselTruckPartsll-Corp
Name;
'
Address:,z, E53rdTER
Address:
City:
City: HIALEAH FL
Zip: Phone:
Zip; 33013 Phone:
St ature of Own essee/Contractor as Ag for Owner
Sign re of Contra t /License r
STATE OF FL
STATE.OF FLORIDA
COUNTY OF 1�?hn,i-/�
COUNTY OF ��� r /�
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
✓
ysical Pre nce or Online Notarization
� r�n
Ph sical Presence or Online Notarization
� F�AKirAy
this day of , 202QFby
this day of , 202f by
Name of person making statement.
Name of person making statement.
Personally Knowny OR Produced Identification �
Personally Known V OR Produced Identification l/
Type of IdentifJ',cation
Type of Identification
S L•'C��isls
Produced !/n1 t C el -Sp
Produced //4 I ✓�'�
�L
//I-
Notary Public- Stat
(Signature of r'
atur of Notary Public- State of Florida) "
tP� °� Notary Public State of Flor
Commission No. �G d � Z 7 7 ;°��ea�obeM Rice
My Commission GG 0727
da �p e a ubhc State of Florida
Co mission No. � � 07 77 bro 4� � Rice
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- ?'oF�o Ex�ires04l03/2021
• cQ My'Commission GG 072776 .
�•oF�o� Exrpires 04/03/2021
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