HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: i+$ O I _ InC) I
BY
L 777-7777-2=1 St. Lucie County
Building Permit Application RECEIVED
Planning and Development Services JAN 0 4 1010
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. LucCounty
e Coun
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X - Residential ty
PERMIT APPLICATION FOR: Sign 11
III
PROPOSED IMPROVEMENT LOCATION:
Address: G J11 irnLA,L 0 lh-.D A- 97 i-i-. Pi tie4if—
Legal Description: SOUTH DIXIE S/D LOTS 12,13,14
Property Tax ID #: 2427.602.0012.000.2
Lot No.
Site Plan Name: Block No.
Project Name: FRUIT INDUSTRIAL ELECTRICAL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: III
INSTALL INDIVIDUAL PLASTIC LETTER WALL SIGN
CONSTRUCTION INFORMATION:
nlona worKtonfelrrormed under
tispermit—check
all apply:
EIHVAC GasTank
❑Gas Piping
In Shutters
❑Windows/Doors
11 Electric El Plumbing
Sprinklers
FIGenerator
E]Roof Roof pitch
Total Sq. Ft of Construction: 53.1
S Ft. of First Floor:
Cost of Construction: $ 1,880.00
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Prl u•it1
2dP��/t%•�t•�+�
Address: 6JA t 4Wi'Vtei. D,. Aa
,Name:
Company: FLAMINGO SIGNS LLC ".
City: CDT : n��.Gc-�� -' state: FL
Zip Code: 34982., "•• 'Fax: "'
Phone N%346-2266
E-Mail:KIMBERLYPRUITT@PRUITTINDUSTRIAL.COM
Address:, W444 5.2, L'A- .4,, L A,5t:
City:4Y'LPNLL^ State_: FL
Zip Code: 34997 Fax- 220.7768
Phone No.220-7377
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: FLAMINGOSIGNS@AOL.COM
State or County License: ES 12001146
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DES NER/ENGINEER:
Na e: iVr%tS PAz f
_ Not Applicable
MORTGAGE COMPANY:
Name:
_iONot Applicable
Address: octoi e7t Ge
Address:
City: rlo.vK Zo-vsp
Zip: 2,734525 Phone_ a63-a6.7
State: Ft- .
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:,
ya Not Applicable
BONDING COMPANY:
Name:
yNot Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
commencin¢ work o�fl vour Notice of Commence
Signatu Owner/ Less rador as Agent for Owner
Signature of Contra or icense Holder
STATE OF FLORIDA
�%47LTIA(
STATE OF FLORIDA
/y-f/17//-r
COUNTY OF
COUNTYOF
The forgoing instrument was acknowledged)Wore me
The forgoing instrument was acknowledged before me
this H day off 7h-k-k.hfol 20 bf by
this 3 day of 0-#Ku441r 20_1f by
UL7 Y%L h-L/fK
�do G+/L7 4-A/tt,dK
Name of person maiming statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known i/ OR Produced Identification
Type of Identific tion
L-fc_&$
Type of Identification
/e/ttli Li_ elr6
Produced /t"VA-s b
Produced �2
(Signature of Notary Public -State of Florid
(Signature of Notary Public -State of Florida I
Commission No. 3.41Nato State of Florida
Commission No.
ROb�ice
My Commission GG 072776
:p �; 'RobeNotrt M RIed to or Fbdda
Oa po� Expires 0410012021
c • My Commission GG 072776
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEAT LE%
A
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
e
COMPLETED
/ I
Rev. 8/2/17