HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11
Date: 5 16 Permit Number: `YJ d- O a. I
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Building Permit. Application BY
Planning and Development Services
St. LUCIe Count,
Building and Code Regulation Division ....
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: 10675 S US HWY 1
ST LUCIE GARDENS'12 37 40 BLK 4 FROM NW COR OF LOT 4 RUN S 313.5FT TO
Legal Description: POR TH CONT S 79 65 FT THE/ = N 11 or, I OT 4 2;6 g2 vT, T9
TH NWLY ALG HWY 90FT, THW 72.6 FT, TH-S 2 FT', TH W 104.6 FT, TH N 2 FT,. TH W 58.41 F'
PropertyTax ID #: 3414-501-5004-150-7 POB (0.47 AC) (MAP 44/12S) (OR 3297-2017t/c
Site Plan Name: Valvoline
Project Name: Valvoline
Setbacks Front Back:
Right Side:
Left Side:
Install (1) one new illuminated pylon sign display.
W (-'O��QCe
Block No.
13 - NSTRUCT(QN'INFQRIVIATIQN -ti r;.11l
under tnis Dermit -
LJHVAC LI Gas Tank UGas Piping
_Electric Plumbing []Sprinl
Total Sq. Ft of Construction:
O
Cost of Construction: $ �44D,- C
Shutters I� Windows/Doors
Generator Roof
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
_�-,---
,CONTRACTOR Y — ---�
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Name LG Oil of Florida Inc.
Name: Charles Cameron
Address: 10675 South US Highway 1
Company: Certified Signage, Inc.,
City: Port St. Lucie, Stater
Zip Code: 34952 Fax:
Phone No. '
Address- 517 Mason Avenue, Unit 101
City:Daytona Beach State: FL
Zip Code: 19117 Fax: 386-258-4.763.
Phone No. 386-258-4760
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: centralsigns@aol.com
State or County License: ES12000674
IT Valae or Construction is , zbuu or more, a K[LUKUtU nonce at commencement is required.
may SInS3
,r4 ,714,
SUPPLEMENTAL(CONSTRUCTION;L`IEN'L4INJNFORN
t!.
10IN[<:
DESIGNER/ENGINEER: _
Name: Patrick Muench
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:810 Arlington Blvd.
Address:
City: Altamonte Springs
Zip:127nt Phone: 407-782-8710
State: i±L
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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, 1 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 our property. A Notice of Commencement must be recorded and posted on the jobsite
before the first i s e . If you intend to obtain financing, consult with lend�F Br an attorney before
commis a rk reco if
vour Notice of Commenceme� n 1
STATE OF FLORID STATE OF FLORIDA
COUNTY OF CA COUNTY OF VoluE
The for Ding instrUMent was acknowledged before me
this Zdayof J OLMO 11
20j!�_ by
r1tS
person a.
Public -State of Florida )
Known OR
Type of Identification Produced_
Commission No.
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this L5 day of January 2015_,by
ackrle!b l AMe2
(Name of person acknowledging )
&� W_CeW
. / (Signature of ary Public- [ate of Florida )
V Personally Known OR Prpcjuced I entif cation
Type of Identification Produced tj OVA
a-mmur
NotalyPU liEommission No. 4�/ �(Sea�j El°1°r)
My commtssi(m fW1
Commissron No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
7
COMPLETE
INITIALS