HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPT0
Date: (.Q � - ( ,;BANNED Permit Number: 1 v
BY
WIN I � i Lucie County
Building Permit Application JUN 0 3 2016
Planning and Development Services PERMITTING
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: To Select from dropbox, click arrow at the end of line III
[PROPOSED'IMPROVFMENTLOCATION:
Address: 8623 S US HWY 1 PORT ST LUCIE
Legal Description: ST LUCIE GARDENS 26 36 40 BLK 3 PART OF LOTS 12,13,14 AND 15 MPDAF
Property Tax ID #: 3414-501-1912-500-6 Lot No.
Site Plan Name: CROWNE PLAZA Block No.
Project Name: PRINT HOUSE
Setbacks Front Back: Right Side: Left Side:
(° DETAILED DESCRIPTION OF WORK
INSTALL ILLUMINATED WALL SIGNS & CONNECT TO EXISTING ELECTRICAL SUPPLY
CONSTRUCTIONJNFORMATION
;
rtiona wor to ene
�HVAC E]GasTank
orme under
tispermit—c check
EJGasPiping
a
appy:
Shutters
;.Windows/Doors%
,
❑✓_Electric ElPlumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 41
Sq. Ft. of First Floor:
Cost of Construction: $ 3,600.00
Utilities:
Sewer
Septic
Building Height:
-OWNER) LESSEE: , , . - - ',` "'
'-CONTRACTOR; .
Name,PRINT HOUSE'ISABEL REYES
Name: ROBERT GRALAK
Address:8623 S US HWY 1
Company: FLAMINGO SIGNS LLC '.
City: PORT ST'LUCIE State: FL
Zip Code: Fax:
Phone No.786.877.5204
Address: 4444 SE COMMERCEAVE
City: STUART State: FL
Zip Code: 34997 Fax: 772.220.7768
Phone No. 772.220.7377
E-Mail: printhousepsl@gmail.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: ES12001146
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLENIENTdL CONSTRUCTION LIEN'CAW INfORMATION
DESIGNER/ENGINEER: '' x
Name: JAMESPAIT
Not Applicable
MORTGAGE COMPANY:
Name:
x_''Not'Applicable
Address: 12201 SE COLBV AVE
Address:
City: HOBESOUND
Zip: 3W5 Phone: 772263.2677
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _
Name: CROwNE ST LUCIE ASSOCIATES LP
Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
Address: 1015 RNAONCIAL CENTER
Address:
City: BIRMINGHAM ALABAMA 35M
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, consu It with lender or an attorney before
STATE OF FLORIDA /�
COUNTY OF /9A&T
The forgPoing instrument was acknowledged before me
this S day of T i/ (`(t . 20 &by
4, 06PL1 [^-AA-t.nK
(Name of person acknowledging)
/% • ,
(Signature of Notary Public -State of Florida )
Personally Known tf— OR
Type of Identification P18XIM
Commission No.
Revised 07/15/2014
Identification/
STATE OF FLORIDA
COUNTY OF M J h 7-
The forgoing instrument was acknowledged before me
this 3 day of J—Ury L . 20 /6 by
d`dk?eAT G/Ca L
(Name of person acknowledging)
4��y 166
(Signature of Notary Public -State of Florida )
Personally Known L� OR Pr duced Identification
Type of Identification Produc aS bL
Robe r/�t oe !, Commission No.
My C I iss on FF 004962 'CS
Expires 04/03/2017
�' ub"c State W Flenda
Rice
My Commission FF 004962
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