HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9.22-15 Permit Number:
(5 o9-C' �
• SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
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:
PROPOSED,IMPROVEMENT,LOCATION. ,
Address: 714.5 S US HWY 1 PORT ST LUCIE
Legal Description: ATTACHED
Property Tax ID #: 3422.211.0010.000.6
Site Plan Name:
Project Name: INDIA SPICE
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
"DETAILED DESCRIPTION OF WORK „III
INSTALL ILLUMINATED WALL SIGN, CONNECT TO EXISTING ELECTRICAL SUPPLY
CONSTRUCTION; INFORMATION:
E1HVAC Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 27.1
Cost of Construction: $ 3,730.00
n¢—cnecrcau appry:
Piping Shutters
ors 1:1 Generator
S Ft. of First Floor: _
Utilities:,n Sewer 0 Septic
Windows/Doors
0 Roof
Building Height:
1A/N€R/LESSEE `_ "_WWRACTOR:
---;— — —
Name PORT ST LUCIE_PLAZA'l LLC
Name: ROBERT'D GRALAK -
Address:112 PHYLIS CT - +' • `
Company: FLAMINGO SIGNS, LL'C':.
City: ELMONT ' : V • State: NY
1.1003.` "" "` '-
Zip Code: Fax:
Phone No.561-929.4890
Address: 4444 SE COMMERCE AVE -
STUART- FL
City: State:_
Zip Code: 34997 Fax: 772.220.7768
Phone No. 772.220.7377
E-Mail: Corey@co-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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SOPP_LEMENTALCONSTR,UCTION'LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x_ Not Applicable
Name: DAMES PAR
MORTGAGE COMPANY: x Not Applicable'
Name:
Address: 12201 SE COLEY AVE
Address:
City: HOBESOUND State: FL
Zip: 334s5 Phone: 772263.2677
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x 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
_ Signature
STATE OF FLORIDA
COUNTY OF "liy 4 h
The forgoing instrument was acknowledged before me
this 2-Lday of St /7 20 L:Eby
STATE OF FLORIDA
COUNTY OF 11,4 4 71,Y
The forgoing instrument was acknowledged before me
this 2Z day of -"E-"7 .20 If by
9 06 l=h7 kA4 L_4K Avg v27 ( Af LAk
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public -State of Florida) (Signature of Notary Public -State of Florida)
Personally Known ✓ OR
Type of Identification Produce(
Commission No.
Revised
Identification
L / C .t-NS
Notary Pu r'E¢je of Florida
Robert M TRice
My Commission FF 004962
Known OR
Type of
_ -0. Notary Public State of Florida
Commission No.Ef- 0 Robert OEM*
My Commission FF 004962
Expires 04/032017
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