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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 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE 1 i y(% COMPLETE i, INITIALS — —