HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLVE MUST BI OM_PLETED FOR A, PPLICATION TO BE A.C_cEPTED
Date: SCANNED Permit Number:
BY
15��5 �_Jgwg� &flicie Countv JUN 2 5 2015
Public Wcr� �
Building Permit Application St. Lucie cu�nt�r, FL
Planning and Development Services
Building and 6de'Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR:'S'ign
I PROPOSED; IMPROVEMENT LOCATION -
Address: 100 PALM BREEZE DR FT. PIERCE
Legal Description: PALM BREEZES CLUB(PB49-32) TRACT 4
Property Tax ID #: �31 0.500.0004.00 ' 0.1 Lot No.
Site Plan Name: MORNINGSIDE Block N6.
Project Name:, MORNNGSII)i'
Setbacks 'Froht3' Back: N/A Right Side:. Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL ONE FREESTANDING PROJECT MARKIETING SIGN
L�0' NSTRUCTION INFORMATION:
A aa itionaiworKtonenerformed under
1HVAC L]Gas Tank
this permit —check
E]Gas Piping
all
apply:
Shutters
E]Winclows/D oors
m
[]Electric Plu bing
[]Sprinklers
Ge era
n 'tor
Roof
Total Sq. Ft of Construction: 74-6
So. Ft. of First Floor:
Cost of Construction: $.2,100.00
UtilitiesIlSeweFOSeptic
ffuildihgHd'ight:
OWNER/LESSEE:
,CONTRACTOR:
NameCENTEXHOMES
Name: ROBERT GRALAK
Aciclress�24311-WALDEWCENTER DR SUITE 300 -
"Company:- FLAMINGO. SIGNS7
State: FL
%
-PhoneN&'7'72-'M0-50bO
ess_�'� _00M�RC� AVE
Addr -P
State: FL
Zip Cdclb�341997,1,��,-�,�,^-�� Fax: 772.20.7768
Phone No, 772.220.7377
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: flamingosigns@aol.com
State or County License: ES 12001146
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x NotApplicable
Name: JAmEsPArr
x
MORTGAGE COMPANY: Not Applicable
Name:
Address: 12201 BE COLBY AVE
Address:
City: HoBrSOUND State: _FL
Zip: &U-55 —Phone: 7n.263.2677
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x NotApplicable
Name:
BONDING COMPANY: x NotApplicable
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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
—Signature
STATE OF FLORIDA
COUNTY OF Ill,# IL7' I H
STATE OF FLORIDA
COUNTY OF 19',olt r/,Ai
The forgoing instrumqnt was acknowledged Ofore me The forgoing instrurMntwas acknowledged before me
this a day of 20 LSLby this I,( day of J qly 1� 20 _L�by
A ) 9 &A -7
(Name of p�rson acknowledging) (Name of person acknowledging)
Z44 /v )�a� W_
(Signature of Notary Public- State of Florida I (Signature of Notary Public- State of Florida
Personally Known OR Produ d Identification Personally Known �� OR Pro ced Idyritiflication
,�e
C
Type of Identification Produced 114 1- t Type of Identification Produced P,
Commission No.
Notary Public State of
004982
Revised 07/15/2014
No. Fl-- d d
Notary Public State Of Florida
Robert m Rim
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