HomeMy WebLinkAboutBUILDING PERMIT APPLICATION9
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICf j7JON TO BE ACCEPTED )) n
Date: `Le• 1J� SCANNED / Permit Number: c�-�0 (9 [7
BY
St. Lucie Countv RECEIVED
Building Permit Application
Planning and Development Services MAR - 6 2015
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Xx Residential
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: Mile Marker 144
Legal Description: T.......Ff WLMF,4�(TN:
M W01 EIM FT NM1.NPoB1iSS TPA OFMC BO DC-0 ONTNES BY SUOFSEC. ONTNEWSYW 110E BE 1"l WUOFNE1b OF5 MD ONTNE EBYT.EWM W Ul F1DRQINTNR1800i)SN91}�60AC)
Property Tax ID #: 3431-122-0001-0005 31/36SI40E
Site Plan Name:
Project Name: Ft Pierce Convenience Store
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install an illuminated wall sign - connect to EXISTING electric
Lot No.
Block No.
I CONSTRUCTION INFORMATION:, III
I°IHVAC L__[GasTank UGasPiping LJShutters
Z✓ Electric 0 Plumbing []Sprinklers; 1:1Generator
Total Sq. Ft of Construction: 28.33
Cost of Construction: $ 3,950.00
S Ft. of First Floor: _
Utilities:ll Sewer ElSeptic
Windows/Doors
11 Roof
Building Height: 19`
OWNER/LESSEE:
CONTRACTOR:
Name FL state Tumpike Authority
Name: Richard Banten
Address:1211 Governors Sq
Company: Creative Sign Designs
City: Tallahassee State: FL
Zip Code: 32301-2988 Fax:
Phone No.
Address: 12801 Commodity Place
City: Tampa State: FL
Zip Code: 33626 Fax:
Phone No. 813-749-8549
E-Mail:
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E-Mail: dpowers@CreativeSignDesigns.com
State or County License: ES12001069
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL'CONSTRUCTION'LIEN LAW INEOR'MATION
DESIGNER/ENGINEER: ra Not Applicable
Name: MdanLeNley
MORTGAGE COMPANY: Not Applicable
Name:
Address: +2D0 N. Fedarei"
Address:
City: e�R�n State: FL
Zip: aaaaz Phone: as 71r 1+3
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
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, 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
of Owner/ Lessee/Agent
Signature of Contractor/License Holder —
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF W)`)COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 day of 3 20 Eby this J_4_ day of 3 .20 L�'_ by
10'ennjS POwk-rs f(�C )Mcrl g."J"
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- Stoke o'Florida ) (Signature of Notary Public- Stite of Ploric
Personally Known Personally Knoll) n 9Q�f.Fd k
Type of Identificatio rod������dd PA 0 ••. Type of Identif, aa}t'� A 10�,tt���ssiwwo� Ru
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LIOZ'L AoN Sa.pdx3 ooISSIanMN LN =. R , . eppol j to alElS - ollgnd AleloN
Commission No. S - ol1gr§0* , ;, ;: Commission N $13Luai cnv aNIGVN
o.
Ol31dN315ntl 3NIOtlN '%.',ana an+W.° ,
Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
IIIIIJ
O ,
INITIALS