HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I— `n
Date: 9.22.15 SCANNEDBPermit Number: _`J1J�(�9-l/O'
St. Lucie County
Building Permit Application
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: \ "r'\AV-\ III
■i13.11.1.7a.�1►�LI�:t•19a►r11a►�LiI!91W-1111 M 0 �H
Address: 7147 S US HWY 1 PORT ST LUCIE
Legal Description: ATTACHED
Property Tax ID #: 3422.211.0010.000.6
Site Plan Name:
Project Name: GOLDMINE ARCADE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL ILLUMINATED WALL
Lot No.
Block No.
N, CONNECT TO EXISTING ELECTRICAL SUPPLY
CONSTRUCTION INFORMATION: III
LJHVAC L_JGas Tank
ZElectrlc OPlumbing
Total Sq. Ft of Construction: 19.3
Cost of Construction: $ 2,615.00
Piping Shutters ❑ Windows/Doors
nklers Generator Roof
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PORT ST LUCIE PLAZA:TLLC
Name: ROBERT D GRAL'AK,,`
Address:112 PHYLIS CT , ;• %'
Company: FLAMINGO SIGNS;•LLC
City: ELMONT State: NY
Zip Code: 11003 - Fax:
Phone No.561-929.4890
Address: 4444 SE COMMERCE AVE
City: STUART.- — State: FL
Zip Code: 34997 Fax: 772.220.7768
Phone No. 772.220.7377
E-Mail: corey@cc-reg.com
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
II If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
rr•
`SUPPLEMENTALCONSTRUCTION LIEN'LAW INFORMATION: •
DESIGNER/ENGINEER: x Not Applicable
Name: JAMEs PAIT
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 12201 SECOLBVAVE
Address: '
City: HOBESOUND State: FL
Zip: 33455 Phone: 772263.2677
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
x Not Applicable
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.
_ Signature
STATE OF FLORIDA
COUNTY OF iM h n 7
The forgoing instrument was acknowledged before me
this 2t_ day of Jt P7 4 N 01-1. 20 I Lby
40 6VA7 �2tiL/rh
(Name of person acknowledging)
(Signattife of Notary Public -State of Florida )
Personally Known OR
Type of Identification Produj&
Commission No. /)N
Revised 07115/2014
Identification
L, G e-c
ublic State of Florida
M Rice
My Commission FF 004962
i
s
Signatu rL
Contra ' ense Holder
STATE OF FLORIDA
COUNTY OF M 4 X7/ N
The forgoing instrument was acknowledged before me
this 4 LL day of SF<7 t +rOra 20 (i S by
/4ddvA7 G-Ae1-e/t
(Name of person
acknowledging)
(Signature of Notary Public -State of Florida )
Personally Known 1/ OR
Type of Identification Prgd^
r Notary Public fete of Florida
No.
Rob en(
` Mr Commission FF 004962
orrv� Expires 04/0312017
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