HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y
Date: SCANNED Permit Number:
® .�, BY
St. Lucie Countt RECEIVED
Building Permit Application 172017'
Planning and Development Services
Building and Code Regulation Division P=Rh?ITTING
2300 Virginia Avenue, Fort Pierce FL 34982 Si, Lucie County, � L
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Sign
;PROPOSED IMPROVEMENT LOCATION: `
Address: 260 SE Prima Vista Blvd. Port St. Lucie
Legal Description: RIVER PARK - UNIT 5 BLK 45 LOT 3 (MAP 34/28N) (OR 3958-2735)
Property Tax ID #: 3419-540-0057-000-8
Site Plan Name:
Project Name: Wawa
Setbacks Front23.5' Back:
Right Side: 26' Left Side:
Install (1) double-faced, illuminated monument sign. Hook up to existing power.
L_IHVAC L _I Gas Tank
❑✓—ElectricPlumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 19521.00
unaertmspermit—cneckall apply:
OGasPiping _Shutters
❑Sprinklers Generator
S Ft. of First Floor: _
Utilities:In Sewer 0 Septic
Lot No. 3
Block No. 45
❑Windows/Doors
ERoof = Roof pitch
Building Height:
OWNER/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: 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 at construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
DESIGNER/ENGINEER: _ Not Applicable
Name: John F. Dougherty, PE
Address' 4590118th Ave N
City: Clearwater
Zip: 33762
Phone: 727-573-7757 x306
State: FL
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip:
RMATION:
MORTGAGE COMPANY: . Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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 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 ano 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
STATE OF FLORIDA STATE OF FLORID %�N
COUNTY OF PLVIU&Ls COUNTY OF f IIAeUS
The f1or oing instrument was acknowledged before me
this T%-P- day of M VA (L-- 20 Mby
PriSzLI [IGL —AA o" S
(Name of person acknowledging)
(Signature of N 1 ary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No. „�,,,ea ANGELA MCNUTT
lV P,
Notary Public - State of FIc
The forgoing instrument was acknowledged before me
this day ofM A4Z— 20 V by
Pr1SAi llA l�ioMRS
(Name of person acknowledging )
(Signature of Ndtary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Revised 07/15/2014 ?o*; Comm. Empires Mar 5, 2021
•• Bonded through National Notary Assn
'PE , n' Ft
No. """r "';'�.. Notary P�ubllc - StateUTT
of Florida
•(: :)• E Commission B GG 046000
my vuMsu. 1t ues mar , ZuZJ
"`�'••• Bonded throutdi National Nctary Assn
un,•
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS