HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ip 11 l k o SCANNED Permit Number: I ����� n - r13 Ail J
4 BY
Lzal St. Lucie Counti,
• _ vmmmmmmmmmmmmmmmmmmw
Building Permit Application jUN 17 2016
Planning and Development services PERMIT. G
Building and Code Regulation Division St. Lucie Co;_:.:y, 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
Address -717i 5 0`7 KW I I PoFz,T ->T usc.aL
Legal Description:
Property Tax ID#: '9Naa- a,II- 0010- 000-(o Lot No.
Site Plan Name: Block No.
Project Name: g1Au 91rt A2c4&,0Z-
Setbacks Front Back: Right Side: Left Side:
-DETAILED DESCRIPTION OF WORK: III
INSTALL ILLUMINATED WALL SIGN, CONNECT TO EXISTING ELECTRICAL SUPPLY.
• I
4 y'
CONSTRUCTION INFORMATION:•
ArJffltinnP1wnrktnhPnPr1nrmPr1Iln art IC nprmlt—r pr a t nt nnn Ar
0HVAC Li Gas Tank E]GasPiping UShutters QWindows/Doors
ZElectriC Plumbing Sprinklers 1:1Generator Roof
Total Sq. Ft of Construction: , l0, : '3 S Ft. of First Floor:
Cost of Construction: $ _ 'QL, .i 0 0. e0 Utilities:11Sewer Septic Building Height:
,OWNER/LESSEE:
CONTRACTOR • =
Name i7l4 phzee-t
Name: ROBERT D GRALAK
Address: -7I -77 r-1 _ ,• U: I
Company: FLAMINGO SIGNS LL•C
City: PC-nc -,r w tAd'?- State: f�
'-Zip Code: 7iN4<& Fax:
Phone No. 301I. 47y• -56ga
Address: 4444 SE COMMERCE AVE
City: STUART State: FL
Zip Code:34997 Fax..772.220.7768
Phone No. 772.220.7377
E-Mail: 64v1 ?-Roor1 DfPo r0_ VAr-loe , cp rl
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.
SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION:'''
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY:`
Name:
eNot Applicable
Address: i-xa.ot �,i Cyu>r YW-c
Address:
City: A07 , State: T - t
Zip: Phone: ar^3-a6-,I)
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name: non-: we « Pt4r" t L. LC_
BONDING COMPANY:
Name:
Not Applicable
Address: tta 9A-i As et'
Address:
City: 2Ut twr LJ --.1
City:
Zip: t t o o 3 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 ano 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-_. ecordine vour Notice of Commencement.
_ Signature
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 0 d /CT / /I 1 COUNTY OF RA AY / /hi
The forgoing instrument was acknowledged before me
this /'l day of r . 20 &by
!a`^I/ 6 L71,-7 I - Lh IL
(Name of person acknowledging)
The forgoing instrument was acknowledged before me
this 0 day of 3-U&C'" . 20 %G by
Add,ee- 7 l-/LAL�aK
(Name of person acknowledging)
7ue't Ile., luax Aeu
(Signature of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida )
Personally Known r/OR Procll Identification Personally Known "� OR Produced Identification
Type of Identification Produced /� h� /� c Type of Identification Prod ttc4� •,�,1!,h.• L/ at -•vs
Commission No. l" ( - Notary "b)State of Florida Commission
Robert M Rice
.n S My Commission FF 004962
Revised 07/15/20
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS