HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1=5 1 �5 Permit Number: `5 01 - Oa I a
Building Permit Application SCANNED
Planning and Development Services St, BY
Building and Code Regulation Division Luc BY
CoUnn,
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
PROPOSED."[ M PROVEM-ENT. LOCATION'
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 / /To u IT nr InT 4 27(; _ 52r,T To ran W us 1,
TH NWLY ALG HWY 90FT, THW 72.6 FT, TH S 2 FT, TH W 104.6 FT, TH N 2 FT, 4TlH W 58.41 FT
PropertyTaxlD#: 3414-501-5004-150-7 POB(0.47 AC)(MAP 44/12S)(OR 3297-20LotNo.
Site Plan Name: Valvoline
Project Name: Valvoline
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION _OF�WORK`.
Install (1) one new illuminatedwall sign display_..
TION.
rL_JHV C "Gas Tank UGas Piping LJ Shutters
Electric 0 PlumbingSprinklers 1:1 Generator
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2OCGG CQ Utilities:
Sewer Septic
Block No.
Windows/Doors
Roof
Building Height:
OWNER/LESSEE:
CONTR_ACTOR: Y
Name LG Oil of Florida Inc.
Name: Charles Cameron
Address: 10675 South US Highway 1
Company: Certified Signage, Inc.,
City: Port St. Lucie, State: FL
Zip Code: 34952 Fax:
Phone No.
Address: 517 Mason Avenue, Unit 101
City:Daytona Beach State: FL
Zip Code: 491 17 Fax: 386-258-4763,
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
IIIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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UC31%31V CK/CIVI]I IVtCK: _ IVoi ApplicBole MORTGAGE COMPANY: Not Applicable
Name: Patrick Muench Name:
Address:810 Arlington Blvd. Address:
City: Altamonte Springs State: FL City: State:
Zip:32701 Phone: 407-782-8710 Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
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 mayrestrictor 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 your paying twice for
improvements to your property. A.Notice of Commencement must be recorded and posted on the jobsite
before th�a' t t4qaeti n. If you intend to obtain financing, consult with lender or an attorney before
of
STATE OF FLORI Q STATE OF FLORIDA
COUNTY OF lj[JI�SI COUNTY OF Volusia
The for oing instru ent was acknowlecig d fore me
thisLdayof Jan$112 .20rby
l r�
(Name of person acknowledging) -
(Signature of N ry Public -State of Florida)
Personally Known OR Produced entif-i�@ttiio�nn,,�—
Type of Identification Produced � OLV 6vCU 1(CD
(;IinerYaoobov
Commission No. VPp � i gal) Notm Public
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this 1 -dayof January 20L5_� by
(Name of person
(Signature of No ar Public- State of Florida ) /J
Personally Known ✓ OR Produced I�entif cation
We of Identification Produced Ticaniljl to f ec Oy
Commission No. ��
Commission No. FF 47653
(Seal)
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