HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: aI` �3—� � Permit Number:
j r6tu-re. 6GANNED a .f�D
�9BY
St. L cieCoun SEP 2 8 2016
BluHNng Permit Application �' ^
P `
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
uulic Works
St. Lucie County, FL
Commercial `_� Residential
PERMIT APPLICATION FOR: Sign 0 III
PROPOSED IMPROVEMENT LOCATION: III
Address: 8453 US Hwy 1 Port St Lucie
Legal Description:
Property Tax ID #: 3414-501-1905-050-4
Site Plan Name:
Project Name, Sherwin Williams
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
C-
V of tr w.: ed-
I CONSTRUCTION INFORMATION: III
_QHVAC L�Gas Tank
(•� Electric 0 Plumbing
PF
Total Sq. Ft of Construction: 62.03
Cost of Construction: $ 6217.00
Piping
Sprinklers
Shutters Q Windows/Doors
Generator ,Roof
S Ft. of First Floor; _
UtilitiestSewer Eleptic
Roof pitch
i
Building Height: /8
OWNER/LESSEE:
CONTRACTOR:
NameSt Lucie Palm Plaza LLC
Name: William H Griffin
Address:23 Chauncey PL
Company: Sign X-press
City: Woodbury State:NY
Zip Code: 11797 Fax:
Phone No.
Address: 10831 Canal St.
City: Largo State: FI
Zip Code: 33777 Fax: 813-907-8088
Phone No. 813-907-8000
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: forpermits@aol.com
State or County License: ES12000419
If value of construction. is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLE MENTAL'CONSTRUCTION LIEN LAW INFORMATION: JII
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
— Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
Zip: Phone: - I 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 p/ed on the jobsite
before theffirst inspection. If yo}�ntend to obtain financing, consult with lender or an orney before
commendn[ Work or recordin4c ur Notice of Commencement.. /
as
STATE OF FLORIDA STATE OF FLORIDA y�
COUNTY OF A/n/6-U0s COUNTY OF / /ly6
The forgoing instrum nt was acknowledged before me
this J?_%�day of G ✓ WL6C , 20 Eby
(Name of person acknowledging )
(Signature of Notary P lic- State of Florida )
Personally Known
Type of Identifical
Commission No.
Revised 07/15/2014
OR Produced Identification
Notary Public State of Florida
Toni J She(51i11)
My Commission FF 045864
Expires 08/23/2017
The for ding mstru en,j�was acknowledged before me
this �y of �v 0^6620lG by
(Name of person acknowledging
o�)
(Signature of Nota, u/bl c-State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identi
�tpxrro% Notary Public State of Florida
Commission . Toni J Sherman
e fission FF Jail)
e..�� Expires 0812312017
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