HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI , I '�L I.
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/9/16
b(ANNED
BY
St. Lucie Countv
Z�'Vy -�g
Permit Number:
Building Permit Application
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
I PERMIT APPLICATION FOR: Electrical FA III
I PROPOSED IMPROVEMENT LOCATION: I
Address: 10602 S US I , PORT ST LUCIE, FL 34952 (UNINCORPORATED ST LUCIE COUNTY)
Legal Description: ST LUCIE GARDENS 12 37 40 BILK 4 FROM NE CDR OF LOT I RUN S ALG W RD R1W U OF COUNTY RD 200 FT. T11 W TO E RD RM U OF US 1, TH NWLY ALG
RD RNV LI TO N U OF LOT 4 B1_I( 4. TH E TO PO&4_ESS E 510 FT AND LESS N 20 FT AND LESS THAT PART MPDAF. BEG INT OF NW COR OF LOT I AND ELY RD R/W U OF US 1 RUN S 27..
Property Tax ID #: 3414-501-5001-050-5
Site Plan Name:
Project Name: BILLBOARD CONVERSION TO DIGITALJLED - ELECTRICAL UPGRADE
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.
Upgrade existing electrical for conversion of existing billboard to LED
Lot No. 1
Block No. 4
I CONSTRUCTION INFORMATION: III
JUIL
[JIU1101 WUM LU UrICI
H
I UI I I ICU UIIUCI LIM
Gas Tank E]Gas
PCI I I I I L—LIICLK d1l dPIJIY;
Pi. Mutters ElWindows/Doors
-
ZElectric
Plumbing OSprinklers
1:1 Generator 11
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 6) be) . 0D
S Ft of First Floor:
Utilities'li Sewer 0 Septic
Building Height:
Roof pitch
owNER/LESSEE-
CONTRACTOR:
NameOUTFRONT Media LLC
Name:
Address:2640 NW 17 Lane
Company: '�-_'X
City: Pompano Beach State:FL
Zip Code: 33064 Fax: 954-971-5364
Phone No. 954-971-2995
Address: 3�5S9 ':!-=N,%e.; 5 c;'
City: \�Vy\\'A tX_::'0-V2N state:
Zip Code: Fax: -)o (� 09 1) 0
PhoneNo. _71fl�o
E-Mail: ludrick.lindo@outfrontmedia.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E- M a i 1: !rA4?-o IQ'- cS� c.,v e (z
State or County License: q_C-
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCnON LIEN LAW INFORMATION: III
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: NotApplicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X NotApplicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
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 County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or angoovenants 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 maV 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
eo
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/i
STATE OF FLORI STATE OF FLORIDA_�`_
COUNTYOF COUNTY OF L--? IZ_L'_)
The forgoing instrument was acknowledged before me
this LO day of A�) 0 6 e4L5 �-J_26 JLby
acknowledging
State of Florida I
The forgoing instrument was acknowledged before me
I ng ins
this Alclayof 0 1(� by
f p so
(Nameofpersonac nowled "ingo:m
U,
J A
(�qgfnature_of�rotary Wic- state of Florida I
[Ripf Known _,4 OR Produced Identification Personally Known _OR Produced Identification
_Js/
,.b ntification Produced Type of Identification Produced
I�Jn No. - (Seal)
A FF (Seal) Commission No. FF q':�;4'aM
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