HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: N I � A\ \G Permit Number:
SCANNED
RECEp.'�'
IM- -D 110 0 8 2016 BY
Building Permit Application St. Lucie Countv
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 -Fax: (772) 462-1578 -Commercial -X -Residential
J.PERIVIIIAPPLICATION-FOR: Sign I
PROPOSED IMPROVEMENT LOCATION:
Address: 7582 S US 1 PORT ST LUCIE FL
Legal Description: PRIMA VISTA CROSSINGS RiEPLAT NO. 3
Property Tax ID #: 3422.858.0002.000.4 Lot No.
Site Plan Name: Block No.
Project Name, MET�O POS
Setbacks Front Back: Right Side: Left Side:
DETAILED, DESCRIPTION OF WORK:
I INSTALL ILLUMINATED WALL SIGN, CONNECT TO EXISTING ELECTRICAL SUPPLY.
Macd?C5
CONSTRUCTION INFORMATION:
AdditionalworKlOoe-pertormed under this permit— check all apply:
J=JHVAC " GasTank [___JGas
ZElectric F]PIumbing 0Spr
Total Sq. Ft of Construction: 15.25
Cost of Construction: $ 1,500-00
Piping LiShutters oWindows/Doors
nl�lers Ilenerator FIRoof Roof pitch
S Pt of First Floor:
Utilities:cn SevverF]Septic - Building Height:"
OWNER/LESHE:
-CONTRACTOR:-.
Name METRO PCS
Naime-_ROBEF�T GRALAK"�
Address' 7582 S�US 1
c6mpany:, FL - AMINGO,SIGNS LLC.
City: FORT ST L I UCIE'.1 State: FL
-Zip Code: Fax�,,.
-� 4- '-779 X:
nor, 61 001'7_�
Address: 4444 . SE COIV[904CE'AVt�
Ci . ty I : , STuAht State: FL
QA007
I Lip Code: Fax: 220.77CS
Phone No. 220.7768
E-Mail:
-Fill in -fee siTnple-Title-Hotder-on-nextpage (If-clifferent
from the Owner listed above)
-&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 CONSTRUCTION LIEN,LA INFORMATION
DESIGNERANGINEER: x Not Applicable MORTGAGE COMPANY: x NojtApPlicotble
Name: JAMES PAT Name:
Address: 12201 SECOLdYAVE Address:
City: HOBESOUND -" ' State: FL City: State_�
�Zip: 33456 , .-.Phone: 263.2677 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x NotApplicable BONDING COMPANY:
Name:
Address:
City:
Zip: —
one:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
x Not Applicable
St. Lucie Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conAct with any applicable Home Owners Association rules, bylaws or anscovenants 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-pians, the Florida Building Codes and St; Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
aLLessuly s1l UUUT es, 5wilmiling PUUIS, IFUMCb, . . . I - I . - I - I . - . - .. .
Wdll�, bIF I 1�, SUI eel I I IJUI I lb dllU dULe5bUly Ubtfl LU d1lULlltl I Wil-leSidel I 6a; 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
corrimpnrina %At rk or recording vour Notice of Commencement.
as Aqpnt for C)wnpr
STATE OF FLORIDA I
COUNTY OF M 6 Ali/
The fQmo�ing instrur
,lent was acknowledged before me
this 7 day of / /0 1' , 2o LLby
AOd`6A -7 �—AAI,49
(Name of person acknowledging
law g
(Signature-af.Notary- Public-- State-of.Fiorida-) .
Personally Known Ll� OR
Type of Identification Pr*kpp
Commission No.
Revised 07/1512014
Notary Public State of Flofida
Rob*UbRice
My CommiWon FF 004962
Expires 041039017
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this 7 day of P0 4141, , 20 /� by
leo", /L 7 AA � L A,.r
(Name of person acknowledging)
17
A�
(Signature of Notary.Public- State of Florida I
'C4
Personally Known 1�_ OR Produced Identification 'I I'_
Type of Identification Produced
Commission No.
Notary Public State of Florida
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