HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPIJCATION TO BE ACCEPTED
Date: 5125/2021
{lei /j 512021 — - Permit Number:
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Planning and DevelopmentSenrices Building Permit Alication
Building and CodeRegukrtlan DlVislon Commercial X Residential
2300 Wrglnla Avenue, Fort Pierre FL 34982
Phone: (772) 462-SSS3 Fax: (772) 462-1578
Address: INDRIO RD FT [PIERCE
Property Tax ID #: 1333-112-0011-00o-0
Site Plan Name:
Project Name: LED SIGNAGE
Concrete foundation to mount digital structure - Install steel structure to foundation and
Lot No.`
Block No.
Mount (2)14 x48 digital dsplays to structure - Displays will nm i st party content and gavemment safety warnings
Electrical hookup of displays
New Electrical Meter ( Second Electrical Meter
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:4 3? 4 Sq. Ft of First Floor: _ L
Cost of Construction: 5 p00 Utilities: _Sewer `Septic Building Height: Jam'
Name Fkxida Power and Light
Address:2300 Virginia AVE
Cny: Fod Pierce, FL State:
ZIP Code: 34982- 5632 Fax:
Phone No.
E-Mail:• ..- ., ..... - .
Fill-in fee -simple Tine holder on next page (if different
from the Omer listed above)
Name:/_10MEK, MICHAEL
Company: ULTRA LUM ENTERPRISES INC
Address: PO BOX 2188
State:
ZIP Code: 34682 Fax:
Phone No906M7-0993
E-Mail TINA@,ALLLPERMITSERVICES.COM
State or County LicenseEC13OC4138
If value of construction Is 2500 or more, a RECORDED Notice of Cornmencemerrt is required,
If value of HAVC Is $7,500 or more, 2 RECORDED Notice of Commencement is required.
City. PALM HARBOR
Name:
Address:
City. —
Zip: Phone —
FEE SIMPLE TITLE HOLDER:
Name:
Address: -- —
City:
ZIP: Phone:
_ Not
— _ State-
` Not Applicable
MORTGAGE COMPANY: Name: _Not Applicable
_
Address:____— - - —
City: �- - State:
Zip -Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: _ .._._,_ Phone:
_Not Applicable
OWNER/ CONTRACTOR Atlon
! certify that no work or Installation IT: Application Is hereby made to obtain a permit to do the work and Installation as indicated.
has commenced prior to the Issuance of a permit.
St. Lucie Coun makes no representation that Is granting a permltwill authorize the permit holder to build the subject structure
which Is in conflict with any applicable Home Owners Association ruses, bylaws or and covenants that may restrict or prohlbit 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 can currency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
lt In paying twif� fo
WARNING TO OWNER: Your failure to Record a Notice of Commencement may resur
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 public
records
consult
with (ender or an attorne before commencen work or reco our Notice of Commencement.
r
Signature of Owner/ Lessee/Contractor as Agent for Owner i /re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF0. COUNTY OF
�Swam to (or affirmed) and subscribed before me of Swam to (or affirmed) and subscribed before me of
hyy,s�lcal Presence or Online Notarization v Physical Presence or online lot
this 8�"ialay of If'? _ by this 2 `"`day of _ "a, — - -
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Name of person making statement Name of person making statement.
Personally Known Hlf ft
Type of identify FSi
Produced -scut
REVIEWS
Identification
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(Seal)
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FRONT
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Personally Known OR Produced Identification t/
Type of Identification
Produced
:(SIgna ure of Notary puc9p€,i2rje of New Jerseymission No. � ' xgUssion kxxpeiar6s Apr 9, 2026
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