HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr�
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ALL APPLICAB INFO�^UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:' ?'" l SCANNED Permit Number:
BY RFo
- • St. Lucie County
Building Permit Application APR 252010
Planning and Development Services Permitting De
Building and Code Regulation Division St• Lucie Coact
2300 Virginia Avenue, Fort Pierce FL 34982 ty
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
PROPOSED IMPROVEMENT LOCATION:
Address: 7riS3a S S r1 cs�c j' l Po rz- `>b Wc- -r_
Legal Description: ST LUCIE GARDENS 26'36 40 BLK'3 THAT PART OF LOTS 3 & 4
Property Tax ID #: 3414.501.1903.200.7 r Lot No.
Site Plan Name: Block No.
Project Name: COASTAL FLOORING
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: III
INSTALLATION OF ILLUMINATED CHANNEL LETTERS ON NORTH WALL. CONNECT TO
EXISTING ELECTRICAL SUPPLY..
CONSTRUCTION INFORMATION:
LJHVAC iGas.Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 23.3
Cost of Construction: $ 2,000.00
Piping " LJShutters ❑ Windows/Doors
nklers ElGenerator 11 Roof = ' Roof pitch
S Ft. of First Floor:
Utilities:tSewer Septic Building Height:
OWNER/LESSEE: x
,CONTRACTOR
'Name�`f��vl � i7.%>•f� d,'yT�2 L.C,C�� '`
`Name:'.�:•QBTsi�:z-,r','`;� % d�fyt..4-IL
Address:�6 Sail :ri U5 uWes( I
Company LAMINGOSIGNS
City::: State: FL ., ..
`Zip Coder 34952 , - Fax: e
Phone No.871.7900
A'ddress:'--a lyt21.L6, S•`z:, •.e Dyu^ `✓G�z
City: e� N AS —r State: FL
Zip Code: 34997 Fax: 220.7768
Phone No. 220.7377
E-Mail:NICK@COASTALDEVELOPMENTCORP.COM
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 $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: .T� tL 5
_ Not Applicable
MORTGAGE COMPANY:
Name:
y_ Not Applicable
Address: taam �e7 Cfs to
t r��
Address:
City: tko g`r 5�7� � •
Zip: 33Ns•S Phone a6
Sta` te: rA-•
7,-a6 7'7
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
-�o Not Applicable
BONDING COMPANY:
Name:
_Not 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 fi[ainspecticuQ11t you intend to obtain financing, cSRsukAWthJeadPr or an attorney before
comma me"work or recordin ur Notice of Commencemight.
i
ign of Contractor L Ider
Sig ure of Owner/ Lessee/Con as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF /� b n 9 / /-I
COUNTY OF 'ol 4'i t rr
The for oing instrument was acknowledged before me
this 21 dafJy of A Pti 41 201 S by
The fo�rggoing instrument was acknowledged before me
this 43 day of 412 / t_ , 21
Aeal "—
/CO/9c'n' 6-ILA1-XK
///4,4LAh
Name of person making statement
Name of person making statement
Personally Known OR Produced. Identification
Personally Known r/ OR Produced Identification
Type of Identificat{{'�QJn
L4
Type of Identificeyion
G 1 CtNst-
Produced I//t- C L-2/Sc
Produced 'V'g
/% � 0 14",
%� /�7
(Signature of Notary Public- t 1 r'
of Notary Public -State of FloridaG
0 r PUbile State or Floriea[tG
No. MRlcemission
Imnature
j(SCommission
No. Pudic stateMFbn
Ex pine 04/0312 21 Conimlaslan 072776
Robert+,�'"
e�•
orno�e
oc Y ommleabn OG 07277
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE -
COUNTER
REVIEW
RE IEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
L��Z 11
SIltIl�
RECEIVED
DATE
COMPLETED
Rev.8/2/17 /