HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j y
Date: 4/28/2017 SCANNED Permit Number: _ I w- 0Q:1-z
_ BY
r• �—� St. Lucie County .
Building Permit Application RECE111i^
Planning and Development Services MAY -i 1
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PERMITTING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Resident€dl Lucie county, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
PROPOSED IMPROVEMENT LOCATION: III
Address: FLORIDA TURNPIKE MILE MARKER144 FORT PIERCE, FL34984
Legal Description: SEE ATTACHED
Property Tax ID #: 3431-122-0001-0005
Site Plan Name: FT. PIERCE TURNPIKE PLAZA
Project Name: FLORIDA TURNPIKE FT. PIERCE TURNPIKE PLAZA
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
INSTALLATION OF INTERIOR TWO SIGNAGE FOR DUNKIN DONUTS
CONSTRUCTION INFORMATION: III
❑HVAC ❑ Gas Tank
❑✓ Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
Piping
U Shutters
❑
Windows/Doors
nklers
❑
Generator
❑
Roof
=
Roof pitch
S Ft. of First Floor:
Utilities:Sewer❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name AREAS USA FLTP.CCL Steve Herrmann
Name: Isaac Sasson
Address: 5301 Blue Lagoon Dr..Suite 690
Company: Interaktivo Solutions Inc
City: Miami State: FL
Zip Code: _33126 Fax:
Phone N0.305-790-2422 ---_ _ ..
Address: 470 Ansin Blvd, Bay
City: Hallandale State: FL
Zip Code: 33009 Fax: 954-454-1126
Phone No. 954-454-1116
E-Mail: steve.herrmann@areasmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: administration@interaktivo.com
State or County. License: EC13005958
IT value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION- III
utStGNEK/ENGINEER: �[ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: ^ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING
Name:
Address:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
_Not Applicable
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 Assonation.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 your Notice of Commencement.
�`... s
Signature of Owner/Lessee/Contractor as Agentfor Owner Signature r/License Holder
STATE OF FLORIDA STA OF FLORIDA
COUNTY OF t7Y( qeQ COUNTY OF
The forgotng instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Ag6I 20 �by this JO day of m'"'1 20 11by
-K 'S)tVf' a�f��,�,Y,
(Name of person acknowledging)
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Personally Known e— - - ^R LQdU^ed WQ2&;rGAUQ
gip• u� �. n,cro,u�n ov I? MY COMMISSION
Commission No, r -; �� CommissionN FF9 ?� ;Y#FF 92S131
�bl�ir�is j on No. by 'EXPIRES: 08WW 15, 2019
My Commission xpues x;q. • •• Wood TAru Notary Publb Undengdtem
'•.;:.�r r October 28, 019 ;a.
—
Revised 07/15/2014
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