HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONli. I i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: .
BY
St. Lucie Counts
RECEIVED
Building Permit Application
Planning and Development Services MAR* 2 7 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PERMrr-rING
.Lmcie County, Fl.
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial x ResideShn 15
PERMIT APPLICATION FOR: Sign
PROPOSED,, IMPROVEMENT LOCATtON-'. 6
Address: 260 SE Prima Vista Blvd
Legal Description: RIVER PARK - UNIT 5 BLK 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:
DETAILED DESCRIPTION CIFWORK:
Install (2) non -illuminated gas canopy spanner panel signs. One on north end, one on the south end.
CONSTRUCTION INFORMATION-
AacinionalworKtobenertormecl
unaerthig
perHR:—E-156ck
all
apply:
EIH
11
Gas Tank
E]Gas Piping
Shutters
❑
Windows/Doors
11 Electric
F-1 Plumbing
OSprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft of First Floor:
Cost of Construction:
$ 1766.00
Utilitiescn
Sewer ESeptic
Building Height:
bWNER/LESSEE:,
- CONTRACTOR:
Name BW Prima Vista Floresta LL8
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: 4590 118th 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
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:'
DESIGNER/ENGINEER: _ Not Applicable
Name: John F.Deugherty,PE
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 4590 t lath Ave N
Address:
City: Clearwater State: FL
Zip: 33762 Phone: 727-573-7757x305
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
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
commancine work or recordine vour Notice of Commencement.
STATE OF FLORIDA % STATE OF FLORIDA �i
COUNTY OF P1 ila s COUNTY OF l I 1 to 0, S
The forgoing instrument was acknowledged before me S
this day of MA(L- 2011 by
P,' `SCi a c'Tl 10A' "-
(Name of person acknowledging)
��"w&
(Signature o0dotary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
The forgoing instrument was acknowledged before me
thiskridayof 20 1-1 by
pj^1\' (n h ICA 1 V1,OMA S
(Name of person acknowledging)
(Sign atLYe of N 0-t#vPublic- ate of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. w� o (LA MCNUTT Commission No.
:• • ; �`, Notary Public - State of Florida
,�elsc My Comm. Expires Mar 5, 2021
_ `"'^I Revised 07/15/20 Bondild through National Notary Assn.
r se MCNUTT
Not ry lic - State of Florida
Commission # GG046800
National Notary AL
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