HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1` PLICABLI �NF MU E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:l �^ I
�C>f� Permit Number: S V `
Planning and Development services Building {lei Permit Application Sp. LuCBcourlty
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 ID #: 1406412-0002-000-8 Lot No.
Site Plan Name: GIANT OIL - US 1 Block No.
Project Name: GIANT OIL- US 1
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
MODIFY EXISTING ID SIGN FROM SHELL TO MOBIL (95.55 SQ FT) I,�)
CONSTRUCTION INFORMATION:
Itlona wor to e e orme under tispermit—c ec a appy:
�HVAC E] Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers Generator 1:1 Roof
Total Sq. Ft of Construction:
Cost of Construction: $�
S Ft. of First Floor: _
Utilities:CnSewer Septic
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. 2Q(„ •71 G4 (T
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: ENGINEERED PERMITS ING
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 311-A SOUTH WOODLAND BLVD
Address:
City: DELANO State: FL
Zip:32720 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
commencing work or recording your Notice of Commencement.
/y s
_ Signature of Owner/ Lessee/Agent Signature f Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF V 6w51A COUNTY OF %1bL,1JXS IA
The forgoing instrument wa acknowledged before me The forgoing instrument was acknowledged before me
the dayof U 2011_by this _Wdayof %JUNE 20 f%by
gAnMa DJ 4T,4 7: Q0i.l.1T'r 9.1UM&J7D J!Ml- Qdl' L t7'T
(Name of person acknowledge g) (Name of person acknowledging )
ignature of Notary Public -State of Florida) ature of Notary Public-Stat(Tof Florida )
Personally Know OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No.
..�Y:`Y9m. LESLIE COLLETT ri '
Revised 07/15�K Y My Commission Expires
II September 24. 2018
(Seal)
Commission A FF 162644
My Commission Expires
September 24, 2018
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