HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCE"EO
Date: \a_ \ a. % Permit Number. kin. 1 a —o 33q
_RECEI\':D DEC 192016
Building Permit Application 6UANNED
Planning and Development services BY
Building and Code Regulation Division ;I I UCfe CoUr)ty
2300 Virginia Avenue, Fort Pierre FL 349R2
Phone:(772)462-1553 Fax:(772)462-1578 Commercial xxxx Residential
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: 6666 S US HWY 1 Unit Port St Lucie Fl- 34952
Legal Description: ocstuosssan[anro[mt>Mft> Smmn[us[vnnro[umunimmnmruct
maum oassmvs[c neam[, mn mmosuirs„m[eammasao� sm:o: s[a ovsossn[a[ita t®oivs,vxsmmn[,mt®ssn ro [u sunux momrv<[®naaroeaix[evvtxcv
Property Tax ID q: 3415 501 0065 000 4 Lot No.
Site Plan Name: St Lucie Square Block No.
Project Name: New York New York Arcade
Setbacks Front Back Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install illuminated channel letters on building
III CONSTRUCTION INFORMATION: III
L 1 Gas Tank
0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4 r7 00
Piping ❑_ Shut ters ❑Windows/Doors
nklers 0 Generator Roof = Roof pitch
of First Floor.
UtilitiesFtSewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name New York New York Arcade
Address: 6666 S US Hwy 1 #3
Name:
Company: TRB Contracting
City Port St Lucie State: Fl-
Zip Code: 34952 Fax:
Phone No.772-242-1011
E-Mail: NynyarcadecorpOgmal.com
Address: 7548 S US 1 #200
city.. Port St Lucie State. FL
Zip Code: 34952 Farc 772-344-5145
Phone No. 772-260.0758
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mad: trbmcl iPaol.com
State or County License: c9c1506848
If value of construction is S25t10 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: cwisvmuo)n'ey
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: +2M N Frdaz! Nrr 02W
Address:
City. B.P� State: rr
Zip: 33432 Phone N&M-3113
City: State:
Zip: Phone-
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name.
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone -
I certify that no work or installation has commenced priorto the issuance of a permit
it. Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
Nhich is in conflict with any applicable Home Owners Association rules, bylaws or angcovenants 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 1 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 accessary 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, consuR with lender or an attorney before
commencing work or recording vour Notice of Commencement.
STATE OF FLORIDA r
COUNTY OF y'fLo C, <
Theforgoinginstru lrt
was acknowledged ore me
this4(gdayafQC — .20Iry
I - . It-
Commission
s
Signature of Contract r/Ucense Holder
STATE OF FLORIDA
COUNTY OF S-H..,3 t-1
The forgoing instru ent was acknowledged before me
this L day of V C7 .20 lb— by
cinowledging I (Name of person owleeddgLing )
Revised 07/15/2014
Produced Identification Personally Known ✓ OR Produced Identification
I Type of Identification Produced
4�1 Commission No. y JPN]lfPRM
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REVIEW
DATE
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