HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALl APPLICABLE INFO MUST BE COMPLt i c0 FOR APPLICATION TO BE ACCEPTED
Date: OL' AN ED Permit Number:BY
, w —�, 4" it I_LIciecounty RECEIVED
_
Building Permit Application DEC 0 7 2015
Planning and Development Services PER:iAITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Sign �' I �a �� E
PROPOSED IMPROVEMENTLOCATION:
Address: 8661 S US HWY 1 PORT ST LUCIE FL 34952
Legal Description: ST LUCIE GARDENS 26 36 40 BLOCK 3 PART OF LOTS 12,13,14, AND 15 MPDAF
Property Tax ID #: 3414.501.1912.500.6
Site Plan Name:
Project Name: FRESENIUS MEDICAL CARE
Setbacks Front ' Back:
Right Side: Left Side:
DETAILED DESCRiP.TION OF WORK:
INSTALL NON ILLUMINATED PLASTIC LETTER WALL SIGN
Lot No.
Block No.
CO
NSTRUCTIONINFORMATIQN.
' `
itiona wor to a er orme under
this permit— check
a� apply:
E1HVAC
E] Gas Tank
Gas Piping
_
Shutters
❑
Windows/Doors
Electric 0 Plumbing
-Sprinklers
[] Generator
0
Roof
Total Sq. Ft of Construction: 13
S Ft. of First Floor:
Cost of Construction: $ 1,150.00
Utilities..
Sewer Septic
Building Height:
11
•OWNER/LESSEE.
CONTRACTOR:
NameFESENIUS MEDICAL CARE; :, ._":
Name: :ROBERT c.,GRALAK
8661 S USY'HVN¢;1Lm^, "•'
Address: • : ..,::,-.
FLAMINGO.SIGNS,
Company: .
City: PORT ST-LUCIE ' State:FL
Zip Code: 34952 Fax:
Phone No.407.765.3065
Address:-4444.SE,COMMERCE AVE"
City: STUART State:FL
Zip Code: 34997 Fax: 772.220.7768
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: FLAMIN(3OSIGNS@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
.,:r.S+"
LIEN LAIN INFORMATION
DESIGNER/ENGINEER: x
Name: JAMES PAIT
Not Applicable
MORTGAGE COMPANY:
Name:'rf.
x Not Applicable
Address: i2201 BE COLBY AVE
Address:,'...:; `•
City: HOBE SOUND
Zip: 33455 Phone: 772203.2677
State: FL
'City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name: CROWNE ST LUCIE ENTERPRISES
Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
Address: 1015 FINANCIAL CENTER
Address:
City: BIRMINGHAM AL
City:
Zip: 3.5203 Phone: 772.807.5771
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 wnrk or recording vour Notice of Commencem
STATE OF FLORIDA
COUNTY OF #4 iLT �r7
The forgoing instrumeen�t was acknowledged before me
this =! day of yer c 20 / by
h 1;4?&n7 (-AA L-Ax
(Name of person acknowledging)
Amok. /.-)
(Signature of Notary Public- State of Florida )
Personally Known V"- OR
Type of IdentificatiorSFFedefI
Commission No. 0
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF M.AA-r Itt
The for oing instru Ent was acknowledged before me
this day of r�� 20 1 S- by
�0,6 k-A 7 GAj c-sr
(Name of person acknowledging)
AA,t o Afa
(Signature of Notary Public- State of Florida )
•oducedIdentification 1%L,c Persona llyKno a IdBglji sr
Type of ldentifi i ud 6n;ut felt
Notary Public State Of Florida ROben M Rice
Robert M 1 Commission No Or=issian FF [q�g999g65WW
my commis 004962 04103QO17 tJCtl11
Expires 0410312017
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