HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPW,-
Date: 4/4/18 Permit NuL_1r: v
o RECEIVED
Building Permit Application ppR 05 101%
Planning and Development Services
Building and Code Regulation Division SCANNED pen,nitdng DeOpo �ty °t
2300 Virginia Avenue, Fort Pierce FL 34982 BY St. Lucie
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x �t. ae.?149S' Rnty
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: 3,150 4nf 4-
Legal Description:
Property Taxto#: L/O
Site Plan Name:
Project Name: FAMILY DOLLAR
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
N
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF NEW SIGNAGE;-HOOK TO EXISTING AMPS PROVIDED
�Cownd5k Jr)z Cat Rn�l�t�``�'' •�Capelt Line _p r o�- 04��
_'I Yr rwe r`t1n cnPHl- Arils I xiRr% 1�3: oy63
CONSTRUCSTION-INFORMATIOW.
ttiona war to a er orme under
�IHVAC UGas Tank
tis -checkpermit
❑Gas Piping
a
apply: . n
Shutters
❑
Windows/Doors
Electric.: MPlumbing
[]Sprinklers
Generator '
Roof Roof pitch
Total Sq. Ft ofConstrucfiot:
S Ft. ofi)sf Floor•_
Cost of Constl action: $ 1800.00
Utilities..
Se%uer Septic
Building Height:
OWNER/LESSEE;',` `?. ""
CONTRACTOR.;:
Name SG r4 6''e, oc A,I rm FhS l
Name: Y(1 S
J—
Address:�a0�' e lwa SI e C.
FOCS ELECTRICAL SERVICES
Company: UICES INC
City:O,-lo,'j o State: FL
Zip Code: 3a�� 1 Fax: 9 QG - G )S - G'�a
Phone No.
Address: -i RD,""O���L�I)%JD(A k ar) Le
City:�,l-LLL (/V ICI State: FL
Zip Code: 32738 Fax: 386-238-1300
Phone No. 386-2381711 X106
E-Mall: CDAGGETT@SOUTHEASTERNLIGHTINGSOLUTIONS.COM
E-Mail: t t-.ram.-,-„ : lij 6�, , C L n,) . Cn n,
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: EC13003609
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
II
Name:
Address:
City: State:
Zip: Phone
FEE SJMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
VKMAhIUN.'
�
ti K ' •
MORTGAGE COMPANY:
Not Applicable
Name:
Address:
City:
State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 forany 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
rnmmpndno wnrk nr rprnrdinrs vnur Notice of Commencement.
Signafureff Contracto'PrOcense Holder
Signa re o(I caner/ Lessee Contractor as Agent for Owner
STATE OF FLCTIC
STATE OF FLORID►
COUNTY OF 010%10,
COUNTY OF y�Z� \l l
The forgoing instrument was acknowledged
The forgoing instrument was acknowledgnrethis3
dayof y 20 )T
this 1 day of y 20h��o
n �
rNameperson making statement
a o,
Marne of person making statemen : Q
Personally Known OR Produced Ide
E f� 9
Personally Known ✓ OR Produced I r f aU
�v"'
Type of Identification
G j; T �
Type of Identification ? "e• E E t
Produced
i z M a
Produced z r
f
z
(Signature of Notary Public- State of Florida) `'4.,:,...•••'
(Signature of Notary Public- State of Flor'
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
I
DATE
,
COMPLETED
Rev.8/2/17