HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC7 INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: O /��'
BY RECEIVE®
St. Lucie County
Building Permit Applicati APR -5 2018
Planning and Development Services
Building and Code Regulation Division C� Department
artment
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting y FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X ReMe1 ie Count ,
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: 2475 MIDWAY RD, FT. PIERCE, FL 34981
I Pani Dpsrrintinn- WHITE CITY S/D 04 36 40 E 150 FT OF W 215 FT OF LOT 62-LESS S 150 FT AND LESS RD R/W
AND LESS ADDL RD RNUS AS IN OR 3746-1135- (0.49 AC - 21,225 SF) (OR 3495-344; 3650-2473)
Property Tax ID #: 3403-502-0096-030-5
Site Plan Name:
Project Name: 12811/FT PIERCE
Setbacks Front 15.54' Back: _
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side: 42.79
INSTALL NEW ID SIGN USING EXISTING ANCHOR BOLTS & FOOTERS (72 SF)
Lot No.
Block No.
CONSTRUCTION INFORMATION: III
onal worKto De
ertormea unaer mis
11GasTank ❑Gas
perms—cnecx au apply:
Piping
HVAC
Electric
Plumbing
[]_Shutters []^Windows/Doors
Sprinklers Generator 11Roof
= Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4500.00
S Ft. of First Floor: _
Utilities:Sewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name GIANT OIL, INC
Name: RAYMOND SCOTT POLLITT
Address:1806 N. FRANKLIN ST
Company: ALUMINUM PLUS
City: TAMPA State: FL
Zip Code: 33602 Fax:
Phone No.
Address: 750 E INTL SPWY BLVD
City: DELAND State: FL
Zip Code: 32724 Fax:
Phone No. 386-734-2864
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: APLUS@ALUMINUMPLUS.COM
State or County License: CBC056B32
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN -LAW INFORMATION:
DESIGNER/ENGINEER: _
Name: ENGINEERED PERMITS INC
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Add re SS: 311-A S WOODLAND BLVD
Address:
City: DELAND
Zip: 32720 Phone386-734-0830
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 recording our Notice of Commencement.
Signature of Ow er/ Lesse r as Agent for Owner
Signature of Contra or Licens
STATE OF FLO I A
STATE OF FLORI
COUNTY OF���I�
COUNTY OF
The forgoing inst ument as acknowledged before me
The fo going instr ment w s acknowledged before me
day by
this day of rt� 20L by
this of
201B
Q l .
Oa e of per making statement
a of personlnaking statement
Personally nown OR Produced Identification
Personally own
OR Produced Identification
Type of Identification
Type of Identification
roduced
oduced
i
(S nature of No blic-State of Florida
ig ature of Not ublic-State of Florida ) �•-._.
Commission No. al. ••-?ir, (S II''
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REVIEW
REVI
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REVIEW
REVIEW
DATE
RECEIVED
1
DATE
COMPLETED
Rev.8/2/17