HomeMy WebLinkAboutBUILDING PERMIT APPLICATION. _7Q _
ALL APPLICABLE INFO MUST BE COMPLEI dii FOR APPLICATION TO BE ACCEPTED y /�
Date: Permit Number:
SCANNED
BY
` St.. I cIPC untti RECEIVED
Buliaing Krmit Application W'27 2017
Planning and Development Services ,
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lvcie rl'•�unty. FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Sign
Address: 260 SE Prima Vista Blvd
Legal Description: RIVER PARK- UNIT 5 BILK 45 LOT 3 (MAP 34/28N) (OR 3958-2735)
Property Tax ID #: 3419-540-0057-000-8 Lot No. 3
Site Plan Name: Block No. 45
Project Name: Wawa
Setbacks Front Back: Right Side: Left Side:
IPETA ILED DESCRIPTION OF WORK. ,,II
Install illuminated wall sign on east elevation @ 19.81 sq ft
Install illuminated wall sign on north elevation @ 24.48 sq ft
Install illuminated wall sign on west elevation @ 19.81 sq ft
11HVAC LJ Gas Tank ❑Gas Piping U Shutters
Z✓ Electric 0 Plumbing []Sprinklers
,/ Generator
Total Sq. Ft of Construction: 10 `�.C�� S Ft. of First Floor:
Cost of Construction:$ 6185.00 utilitie�SewerE]Septic
Windows/Doors
0 Roof = Roof pitch
Building Height:
O W N ER/LESSEE:
CONTRACTOR:
~
Name BW Prima Vista Floresta LLC
Name: Priscilla Thomas
Address: 3708 W Swann Ave Ste 200
Company: Thomas Sign & Awning Co.
City: Tampa State: FL
Zip Code: 33609-4506 Fax:
Phone No.
Address: 4590118th Ave N
City: Clearwater State: FL
Zip Code: 33762 Fax: 727-573-0328
Phone No. 727-573-7757 x241
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: greg.davis@thomassign.com
State or County License: ES0000083
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r'YCc 0 C)L'5C d a(ci-I.8 LI s F
I' SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORIVIATIONt
Name: John F. Dougherty, PE
Address: 4590118th Ave N
City: Clearwater State: FL
Zip: 33762 Phone: 727-573-7757x306
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
BONDING COMPANY: _Not Applicable
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Court 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
comnYsncine work or recordine vour Notice of Commencement.
STATE OF FLORIDA 1 STATE OF FLORIDA f� I
COUNTY OF Pt h 2 tI as COUNTY OF I I LAf_ 11 GL S
The forgoing instrument was acknowledged before me
this 1 day of m (i{Z— , 20 Eby
1 PYASCi �G I NOMAS
(Name of person acknowledging I
r dl.l�l�l./1
(Signature of Nc ry Public -State of Florida I
Personally Known V OR Produced Identification
Type of Identification 2rciduwd _ _
The forgoing instrument was acknowledged before me
this day of MAYL , 20 11 by
N SLi J l (A 71AOMRS
(Name of person acknowledging )
(Signature of Notate Public- State of Florida I
Personally Known V/ OR Produced Identification
Type of Identification ProdL
ANGELA TT
'�`�•+�°••
Commission No. . c �`••
Notary P(llbe®yS ateUof Florida
Commission No.
=• ; ; •
Commission a GG 046800
"- • •
0 1
•"•`. ��•"�,,
Bonded through National Notary Assn. _
Revised 07/15/ �1—
ANGELA MCNUTT
(0118111l)Public - Stale of Floric
Commission N GG 046600
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REV W
REVIEW
REVIEW
REVIEW
DATE
L{��I�I
o3
COMPLETE
INITIALS