HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLE PPLI N TO BE ACCEPTED
Date: 2/2712016 _ Permit Number:
Building Permit Application MAR 0 2 2016
Planning and Development Services SCANNED PERMITTING
Building and Code Regulation Division BY St. Lucie Coun.+y, rL
2300 Virginia Avenue, Fort Pierce FL 34982 I_UCIe CO
Phone: (772) 462-1553 Fax: (772) 462-1578 Commerciale IFPJidential
PERMIT APPLICATION FOR: Sign
'PROF05ED IMPROUEMEN_T LOCATION:
Address: 6251 N US HWY 1, Fort Pierce, FL 34946
Legal Description: 6 34 40 S 150 FT OF N 1/2 OF S 1/2 OF NE 1/4 OF SE 1/4 LYG W OFUS 1 (1.19 AC) (OR 3499-2663)
PropertyTax ID #: 1406-413-0005-000-2
Site Plan Name:
Project Name: Sign
Setbacks Front Back:
Right Side: Left Side:
Letter are 8", Area covered is 30 X 18. Letters are glued to wall
LJHVAC L_IGas Tank
11 Electric E Plumbing
Total Sq. Ft of Construction: 1160
Cost of Construction: $ 450.00
Lot No.
Block No.
Piping Lis ❑ Windows/Doors
nklers 11 Generator Roof
S Ft. of First Floor: 1160
Utilities: Sewer Septic
Building Height:
,OWNER/LESSEE:
CONTRACTOR
-
Name Sealrite Pavers Inc
Name: Roderick Waller
Address: 665 4th St
Company: Sunrise City CHDO, Inc.
City: Vero Beach State: FL
Zip Code: 32962 Fax:
Phone No.
Address: 800 Virginia Ave Suite 61
City: Fort Pierce
Zip Code: 34982 Fax:
Phone No.
State: FL
772-907-0420
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: vKa. s /rl
State or County License: U3C 1 S/S
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. D-5 59c�
SUPPLEMENTAL-CONSTRUCTIONrLIEN:LAWINFORMATION ._
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
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 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 work or recording vour Notice of Commencement.
9 l/V r& "6J A w "" s
_ Signature of Owner/ L ssee/Agent Signature of Contractor License Holder
STATE OF FLORIDA
COUNTY OF , UuLkE
The forgoing instrument wa acknowledged before me
this,ci day of MJ31rojlk , 20 16by
person
of Florida )
Personally Known OR Produced Identification
Type of Identification Produced VE. in, L,
Commission
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF . �11C1
The forgoing instrument w s acknowledged before me
this �day of m�r� 20 f�by
(Name of person acknowledging
re
of Florida )
Personally Known OR Produced Identification
Type of Identification Produced IEL 0.1-1
REN S. NIELSE mission No.
Commission R FF 115 37
June 12, 2018
' KAREN S. NIEL!
Commission N FF 11
June 12, 2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
U