HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-27-17 SCANNED Permit Number: C— C7,"�'
BY
i-s_ r_,=,St. Lucie County `3
Building Permit Application JUL 2 7 2017
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 1,AII
�i
PROPOSED IMPROVEMENT LOCATION:
Address: 801 S Kings Hwy Fort Pierce FI 34945
Legal Description: First Choice Commerce Park Condo (OR 2522-175) Unit F101 Phase 5 (OR 3843-279)
Property Tax ID #: 2311-800-0040-000-9
Site Plan Name: Source 1
Project Name: Non Illuminated building mounted signsign
Setbacks Front Back: Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:' I
Install non-illumiated above entrance = 39.3 SF
V1 a I l S(r
.CONSTRUCTION INFORMATION:
HVAC "Gas Tank UGas Piping
Electric ❑ Plumbing ❑Sprinklers
Total Sq. Ft of Construction: 39.3 SF
Cost of Construction: $ 1000
Shutters ❑ Windows/Doors
Generator ❑ Roof = Roof pitch
Sq. Ft. of First Floor:_
Utilities: Sewer ❑Septic
Building Height:
OWNER/LESSEE:
ONT ACTOR:
NameYork International Norman
ame: k4ichaell Nole
Address: PO Box 434
Company: St. Lucie Signs
City: Milwaukee State:wl
Zip Code:63201 Fax:NA
Phone No.901-237-6109
Address: 1147 Hernando St.
City: Fort Pierce State: FL
Zip Code: 34949 Fax: NA
Phone No. 772-971-6363
E-Mail: Cell901-237-6109
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: mike.stiucie@gmail.com
State or County License: ES12001557 OR 30290
IT value or construction is,SZSDD or more, a RECORDED Notice of Commencement is required.
Y
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name: AghiaaYakub
MORTGAGE COMPANY: XNot Applicable
Name:
Address: Po Box aaz
Address:
City: santeam State: cn
zip:91wa Phone:661-2a9-0900
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
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 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
Signat o ne /Lessee/Conttriactor as Agent for Owner Signa o� ntract� cense� S
STATE OF FLORIDA STATE OF FLORIDA 1
COUNTY OF �Yt .fit Gt Q_ COUNTY OF�. \ P t�G1
The forg ing instrument was acknowledged before me
this a`aay of 20 t7-1by
1
Personally,Known OR Produced I entification
Type of Identification Produced��. I�
Commission No.
Revised
DIONYS APROTONOTARIOS
Thru
The forgoing instrument was acknowledged before me
this �, day of �_sQtL , 20 by
acknowledging
of Florida
Personally Known OR Pr uced Identification
Type of Identification Produced.
Commission No.
MY COMMISSION # FF 970675
Thru Notary
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SUPERVISOR
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VEGETATION
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MANGROVE
COUNTER
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