HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/28/2017
COUNTY
SCANNED
BY
St. Luriprnlint,
Permit Number:
Building Permit Application
MAY I 1 20V
Planning and Development Services PERMI T' Ji\, 6
Building and Code Regulation Division
St. Lucty
Lucie Coun,
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
Property Tax ID #: 3431-122-0001-0005
Site Plan Name: FT. PIERCE TURNPIKE PLAZA
Project Name: FLORIDATURNPIKE FT. PIERCE TURNPIKE PLAZA
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
INSTALLATION OF INTERIOR SIGNAGE FOR SUNSHINE MARKET
CONSTRUCTION INFORMATION: III
11HVAC U Gas Tank
❑✓]Electric ElPlumbing
Total Sq. Ft of Construction:
Cost of Construction: $��
Piping UShutters ❑Windows/Doors
nklers C Generator Roof Roof pitch
_ S'c Ft. of First Floor:
Utilities:Sewer E]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: 954454-1126
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: III
Name: _
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE
Name:
Address:
City:
Not Appl
MORTGAGE COMPANY: —A� Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Name: _
Address:
Zip: Phone: I Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not
St. Lucie Court 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 your Notice of Commencement.
Gw --- s
Signs re of Owner/Lessee/Contractor as Agent for Owner Signat on ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF (}"t COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instru nt was acknowledge efore me
this d day of A Q(\ 20 `-by this 6� ay of f by
(Name of person acknowledging ) (Name of person
(Signature of Notary Public -State ofFlorida ) (Signature No
Personally Known.,, OR Produced Identification Personally Know
Type of Identification Produced Type of Identific<
Commission No. J SSg FR
^ "'. CHRISTINA RO 17�QNn No.,
Commission # F 9�i ��C"My Commission Expires
,, Fcc
Revised 07/15/2014
g) k
ate of Florida )
Produced Identification
I
bL""• C 0 R.HERNANDFZ
MY COMMISSION # FF 928131
ii
•a r15, :819--
.Bonded Thru Notary Public Underwriters
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