HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/28/2017 SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
I PROPOSED IMPROVEMENT LOCATION: III
Address: FLORIDA TURNPIKE MILE MARKER144 FORT PIERCE, FL34984
Legal Description: SEE ATTACHED
PropertyTax 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.
I DETAILED DESCRIPTION OF WORK: III
INSTALLATION OF INTERIOR TWO SIGNAGE FOR VILLA F'IZZA
CONSTRUCTION INFORMATION:
rtlona war tocurrormed under tispermi —check all that appy:
0HVAC Gas Tank Gas Piping _ Shutters E:] Windows/Doors
Z✓ Electric 0 Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ ,� Utilities:�Sewer D 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 No.305-790-2422
Address: 470 Ansin Blvd, Bay J
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
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
commencing work or recording vour Notice of Commencement.
.s�';'.M 5
Signature of Owner/Lessee/Contractor as Agent for Owner Signatu o actor/License Holder
STATE OF FLORIDA ST E OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instru ent was acknowledge before me
this P,8 day of 11 ,^(..�,, t 1 20 R-by this ay of 20 J \ by
(Name of person acknowledging) (Name of person acknowlecli g )
(Signature of Notary Public -State of Florida) - (Signature o ofary Public- tate of Florida p
Personally Known OR Produced Identification Personally Known_ OR Produced Identification
Type of Identification Produced ntification Produced
CHRISTINA ROBINSON
Commission No. ff 9-31 no ,+ Commission o F @ditGErgsi No.MW
My Commissio Expires Ela",
CAROLINA R. HERNANDEZ
October 28 2019 ;: MY COMMISSION RFF 928131 RES: October 15, 2019
Banded Thla Notary Public Undam tom
Revised 07/15/2014 ry
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