HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/28/2017
JLiihIKir_® Permit Number: J � J,) • 040
BY
St. LucieCounty RECEIVE®
Building Permit Application MAY 1 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 ucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Resideo-J,
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: FLORIDA TURNPIKE FT. PIERCE TURNPIKE PLAZA
Setbacks
Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
INSTALLATION OF INTERIOR SIGNAGE FOR EARL OF SANDWICH
CONSTRUCTION INFORMATION: III
HVAC L.J Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ o�
Piping ❑_Shutters ❑Windows/Doors
nklers Generator ❑ Roof
S Ft. of First Floor: _
Uti lities:Sewer ❑ Septic
Building Height:
Roof pitch
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
City: Hallandale State: FL
Zip Code: 33009 Fax: 954-454-1.126
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 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY: YNot Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 accordancewith 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.
-.eaµ-- - - - o s
Signature of Owner/Lessee/Contractor as Agentfor-Owner Signature tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ofgKll COUNTY OF
The for omg instrument was acknowledged before me
this day of 20 -aby
1 : 1kt t ma�nln.
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known v OR Produced Identification
Type of Identification Produced
The forgoing instruA{ nt was acknowledged before me
this ��lay of 20�o_J=_n �by
,�
(Name of person acknowledging)
(Signature of ary Pub ate of Florida )
Personally Known20R Produced Identification
Sype atldgntification Produced
Commission No. Tr hJ SZlIJ Commission e F Oemvctltsi n No.
y F,c My Commissio Expires ;iq�. quy" i CAROLINA R. HERNANDF2
^..l�' October 28 2079 ,?.r� ±s MY COMMISSION#FF 928137
Revised 07/ 15/2014 �� ' f i,+,15 0` Bonded Thru Notary Publlo Undarertem
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