HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date:`moo^ 11/ 1/ SCANNED Permit Number:
•g 0 St. Lucie County Co -
Building Permit Application1�3
Planning and Development Services
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: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: 6315 N. US HWY 1, FT. PIERCE, FL
Legal Description:
Property Tax I D #: 1406-412-0002-000-8
Site Plan Name: GIANT OIL - US 1
Project Name: GIANT OIL - US 1
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
INSTALL ILLUMINATED "MOBIL" CHANNEL LETTERS ON EXISTING CANOPY (21.80 SQ FT)
CONSTRUCTION INFORMATION:
vuei VVUJN wU of iui Ieu uuuei uub
❑Gas
Pemlit —uiecrc do
dppiy:
❑
HVAC Gas Tank
Piping
_ Shutters
Windows/Doors
Electric 0 Plumbing
Sprinklers
11 Generator D
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ _Jb5tx�e�
S Ft. of First Floor: _
Utilities:Sewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name GIANT OIL
Name: RAYMOND SCOTT POLLITT
Address: 1806 N FRANKLIN ST
Company: ALUMINUM PLUS
City: TAMPA State: FL
Zip Code: 33602 Fax:
Phone No.3&[„ • % ?{ t - ��'(tQq
Address: 750 E. INTL SPEEDWAY BLVD
City: DELAND State: FL
Zip Code: 32724 Fax: 386-736-7096
Phone No. 386-734-2864
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: APLUS@_ALUMINUMPLUS.COM
State or County License: CBC056832
It value of construction is 92500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION'.
DESIGNER/ENGINEER: Not Applicable / pP
Name: ENGINEERED PERMITS INC
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 311-A SOUTH WOODLAND BLVD
Address:
City: DELAND State: FL
Zip:3272o Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF u L%)51A COUNTY OF VALUSIA
The for ing instrument was acknowledged before me The forgoing instrum nt was acknowledged before me
this day of J 00& . 20 Lby this day of 3 UrJE . 20 ./� by
_M"I/Nenk] S140rr E&LrT gAim&)i seo r tPdlLrrr
(Name of person acknowledging) I (Name of person acknowledging)
of Notary
Personally Known /"�_ OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Seal)
LETT
My Commission Expires
September 24, 2018
of Notary PGblic- State of Florida )
Personally Known, OR Produced Identification
Type of Identification Produced
Commission No.
COLLETT
My Commission Expires
September 24. 2018
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