HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y
Date `1� �a�jd SCANNED Permit Number:
- St. Lucie County RECEIVED
Building Permit Applicatio I APR 12 2018
Planning and Development Services ST. Lucie County, Permlging
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xxxxxxx Residential
PERMIT APPLICATION FOR: Sign ,
Address: 2014 SE PORT ST. LUCIE BLVD
Legal Description: a LUCre wDuS nvu eu.avnassrox xnvxsrr or wT.,«Dsa,TDrI... xrorvav 1. 11 1 TI. ...FDsix1111:..1:.mTIM.
Property Tax ID #: 3414-501-5004-050-6
Site Plan Name: INTERNATIONAL DIAMOND CENTER
Project Name: INTERNATIONAL DIAMOND CENTER
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OFVOR'K:
Left Side:
INSTALL POLE SIGN PER ENGINEERING. HOOK UP TO EXSISTING ELECTRIC.
I CONSTRUCTION INFORMATION:
Lot No.
Block No.
HaaaionalworKtoDe
0HVAC
errormea
Gas Tank
unaertmspermit— cnecxall
[]Gas Piping
apply:
Windows/Doors
_Shutters
ZElectric Plumbing
0Sprin rs
0 Generator
Roof Roof pitch
Total Sq. Ft of Construction: I
45.000.00
t
S Ft. of First Floor:
ElSeptic
Cost of Construction: $
Utilities:cnSewer
Building Height:
OWNERAESS,EE:
CONTRACTOR:,
Name PAULZINTER
Name: WILLIAM H. GRIFFIN
Address: 2882 SE FARLEY ROAD
Company: INTERNATIONAL C&C CORP
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax:
Phone No.
Address: 10831 CANAL ST.
City: LARGO State: FL
Zip Code: 33777 Fax:
Phone No. 727-541-5573
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: PERMITS@lNTLSIGN.COM
State or County License: ES12000419
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW IN.,
DESIGNER/ENGINEER:
Name: CHRISTIAN LANGLEY
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 12DDN. FEDERAL HWY, 0200
Address:
City: BOCARATON
Zip: 33432 Phone888-371-3113
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or,recordirla your Notice of Commencement.
4& E,
-
Sigh6ture of Own erf Lessee/Cohtractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
D/Ilsun'f
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The for oing instrument was acknowledged before me
T
The forgoing instrument was acknowledged before me
this day of
__ � 20Jf/by
this day of . 20_ by
AJJL,L(_My-
/4, feC'6Ae5�N
Name of person aking statement
Name of person making statement
Personally Known
OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
/
(Signature of No
- Flonda
(Signature of Notary Public -State of Florida )
r►1
Na&7PUbRFiSrdtlof
Toni J Sherman
Commission No.
f ommissi)133782
Commission No. (Seal)
Expues 0812312021
as
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEA
REVIEW
REVIEW
REVIEW
DATE
p
RECEIVED
DATE
COMPLETED
(°
Rev.8/2/17
D4.03�
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: St. /;,9 r1p1B
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: eco''J@t Applicable
Name: Name:n
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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
commencing work or recdYdine vouftNotice of Commencement.
14
Signa re of Owner/ LessepUhtractojYs Agent for Owner
Signatu o Contractor/Licei olde
STATE OF FLORIDA �Nf .
COUNTY
STATE OF
OF
COUNTY OFORIDA/��L��
The forgoing instrument was acknowledged before me
this day f]�iC6�—
The for oing instrument as acknowledged before me
day /�,/L
of ,20f�by
this of .20/eby
Name of person ing statement
Name of person making statement
Personally Known, K OR Produced Identification
Personally Known ✓OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ell
�r
(Signature of Nota F o i a
(Sign ifD'13� o f orida
Commission No. +p Notary publi�y l of Flontla
J She
�• Notary public State or Florida lS I)
Com c Toni J Sherman
�►Toni
irimlo`en
c, My Commission21 133782
pa� Fxpves 08/23/202t
y Co nn GG 133782
pM1 Expues 08/23/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17