HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABL"FO MUST BE -COW' ED FOR APPLICATION TO BE ACCEPTED
Date: (221�jl /,S-
Permit Number:
P;��S�AEJbffi "19 1 SCANNEL)
BY
Building Permit Application St. LUCie count%,
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 Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Adclre�s-y us 1 -7S5-6 6 u Lf!�
Legal Des
Property Tax ID #: 342285800010007 Lot No.
—
Site Plan Name: Block No.
Project Name: GRANDPWS DINER
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL LED CHANNEL LETTERS ON RACEWAY SIGN ON BUILDING TO EXISTING
ELECTRIC
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit- check all a p p_FT__
0HVAC E]Gas Tank Das Piping In Shutters Windows/Doors
11 Electric E] Plumbing E]Sprinlders Ilenerator Roof
Total Sq. R of Construction: 40' S, Ft of First Floor:
Cost of Construction: $ 2350 Utilities. Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name: EDWARD LOUDERBACK
_�a m eK - - - �6r� 0 S 5 �\-� c- �
Company: SIGN CONNECTION
Address: � r s cf ( _5�vl ?_terr o m -c�r qw
city: OL- &A- ML-L`5 State:FL
Address: 10229 SE LENNARD RD
Zip Code: ax:
City: PORT ST LUCIE State: FL
Phone Nu. -$61 -3 Y Q
Zip Code: 34952 Fax: 337-0806
E-Mail:
Phone No..335-2441
Fill in fee simple Title Holder on next page (if different
E-Mail: SIGNCONNECTIONPSL@HOTMAIL.COM
State or County License: 18825
1
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
IL —
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGINEER: Not Applicable
Name: PAULWELCH
MORTGAGE COMPANY: Not Applicable
Name:
Address: 1984SWBILTMORE
Address:
City: PORTSTLUCIE State:
Zip: 34984 - -.13hone: 7&5-9m
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: PR-PRIMAMSTA CROSS LLC
BONDING COMPANY: —Not Applicable
Name:
Address: 1541SUNSErDRM3000
Address:
City: CORAL CABLES
City:
Zip: 33143 Phone: %1-347-oam
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 vour Notice of Commencement.
Signature of Owner/ Lessee/Agent
s
�i�gnature of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORID
COUNTYOF WCIC, COUNTY OF Uc6e, -
The fo oing instru
Eorg _lrier�t was acknowledged before me
thiisC�-E day of �Jkjn� 20 _Lc�_by
OmM Inudabc(OL
(Name of person acknowledging)
J""-' i! , 'a
(SiVita-ture of Notary Public- State of Florida )
Personally Known V/ OR Produced Identification
Type of Identification Prodyced
Commission
Revised 07/15/2014
K,�STJg,A L LOUDERBA
I MISSION#FFOOW,
EXPIRES August 7.2017
The forgoing instrument was acknowledged before me
this ->-' day of , LI A r2s: 20 1 C�� by
Ed- tL)OM 4)(1CVCA1'hc('K
(Name of person acknowledging)
(:�s �11 .11�' A U�
(Sigmture of Notary Public- State of Florida )
Personally Known V/ OR Produced Identification
Type of Identifi ti P d
KRISTINA L LOUDERBA(
mmission No. FF NkAMISSION #FF0092
10 is' EXPIRES August 7.2017
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