HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 223.17 J(. N ED Permit Number:
,= St. Lucie Countv
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
PERMIT APPLICATION FOR: Sign III
PROPOSED IMPROVEMENT.LOCATION` III
Address: 5000 DUNN RD FT. PIERCE
Legal Description: WHITE CITY S/D 05 36 40 THAT PART OF LOT 101
Property Tax ID #: 3403.502.0194.000.3
Site Plan Name:
Project Name: TREASURE COAST HOSPICE
Setbacks Front Back:
LED'
WORK:---',
Right Side:
Left Side:
REMOVE EXISTING WALL LETERING (OLD LOGO STYLE) INSTALL NEW FORMED PLASTIC
LETTERS AND LOGO WITH NEW LOGO STYLE AND COPY
II
CONSTRUCTION INFORMATION: -
ACIanional worK to be nerrormecl un ert his Dermit-c neCK all that aoo v:
11HVAC LiGasTank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 153.3
Cost of Construction: $ 1,500.00
Piping LJShutters
ors L 1 Generator
S Ft. of First Floor: _
Utilities: Sewer LiSeptic
Windows/Doors
E] Roof = Roof pitch
Building Height:
OWNER/LESSEE: .
'CONTRACTOR:
Name HOSPICE FOUNDATION
Name: ROBERT D GRALAK
Address:1201 SE INDIAN ST
Company: FLAMINGO SIGNS LLC
City: STUART State:FL
Zip Code: 34997 Fax:
Phone No.
Address: 4444 SE COMMERCE AVE
City: STUART State: FL
Zip Code: 34997 Fax: 220.7768
Phone No. 220.7377
E-Mail:
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 CONSTRUCTION~LIEN'LAW INFQRMATION n
DESIGNER/ENGINEER: x Not Applicable
Name: DAMES PAIT
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 12M1 SEOOLBYAVE
Address:
City: HOBESOUND State: FL
Zip: 33455 Phone: 2602677
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
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, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement
as Agent for Owner
STATE A. Ait7lh COUNTYOFORIDA Cry41�7�/y
COUNTY OF ��'/
The forgoing instrum,wt was acknowledgebefore me
this'ZY'dayof 1-e/! 20 ° '?by
PZ 0 fP e4--r
(Name of person acknowledging)
ff j 1 lAlo. &'L
(Signature of Notary Public -State of Florida )
Personally Known OR
Type of Identification Produce
Commission No. 0
Revised 07/15/2014
Identification
L•c rA-c o
The forgoing instrument was acknowledged before me
this _ day of fN32N4n4 .20 /7 by
A0,1 C�L7 lr^4 L-/j/t�
(Name of personacknowledging)
����
(Signature of Notary Public -State of Florida )
Personally Known FOR Produced Identification
Type of Identification Produced %%2 t t/U 1r Li c rr�s
ary Public State of Flod Eco Isslon No.
bert M Rice
Commission FF 00496
ry Public State of Florid
art M Rice
Commission FF 004962
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
R IEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
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INITIALS