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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ('��Q% Date: 4/28/2017 ouANNED Permit Number: / / 1 ©S' �-""'r BY -- ;t I_uciecounty RECEIVED Building Permit Application MAY 1 1 2D11 Planning and Development Services Building and Code Regulation Division PERMITFING 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Cclunty, FL 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 II PROPOSED IMPROVEMENT LOCATION: Address: FLORIDA TURNPIKE MILE MARKER144 FORT PIERCE, FL34984 Legal Description: SEE ATTACHED Property Tax ID #: 3431-122-0001-0005 Lot No. Site Plan Name: FT. PIERCE TURNPIKE PLAZA Block No. Project Name: FLORIDA TURNPIKE FT. PIERCE TURNPIKE PLAZA Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: I INSTALLATION OF INTERIOR SIGNAGE FOR WENDY'S CONSTRUCTION INFORMATION: III 11HVAC Gas Tank ❑Gas Piping L 1Shutters ❑ Windows/Doors Electric ElPlumbing Sprinklers Generator Roof Roof pitch Total 5q. Ft of Construction: Sar —F—t.� of First Floor: Cost of Construction: $ r� cam,. Utilities:CnSewer 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. 954454-1116 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. VA SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: YNotApplicable Address: Address: City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: X 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 Count 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 Signature of Owner/Lessee/Contractor as Agent for Owner Signatu e n actor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF OCOUNTY OF �DIAA;� The forgoing instrument was acknowledged before me The forgoing instr///f'''um���errr,,,ntt was acknowledged before me � this — day of AV ik 20 jMby this lQyyy iay of20 /_�- by l �elrwnAnn Jig (Name of person acknowledging) (Name of personacknowledging) (Signature of Notary Public -State of Florida) (Signa�ta lic-State of Personally Known OR Produced Identification Personally Know ��� OR Produced Identification Type of Identification Produced I Type of Identificatior7roducecl Commission No. 1310 Revised 07/15/2014 commission Q F 93'1550' My Commission Expires . No. MY COMMISSION p FF 929131 Bonded Thnr Notary Public REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVI REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS