Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATION' .N ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rf Date: SCANNED Permit Number: BY © St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 °"pa Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residentid14 �o�re PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED'IMPROVEMENT LOCATION: Address: 100 SE Prima Vista Blvd Legal Description: River Park - Unit 5 BLK 50 W 10 Ft of Lot 17 and all Lots 18, 19 and 20 (Parcel A and B) Map 34/28N - OR 2738-175 Property Tax ID #: 3419-540-0241-000-5 Lot No. Site Plan Name: Block No. Project Name: Prima Vista Shell Reimage Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: ° Reimage canopy to a Shell from a 7-11: Remove existing signage from canopy. Install (2) New Shell Pectan signs on the canopy. Reconnect to existing electric. Each sign is 15.21 SF . Front sign is West Elevation facing SW Airoso Blvd and Side sign is North Elevation facing Prima Vista;.Blvd CONSTRUCTION INFORMATION: Additional work to tifelertormed un ert ispermit—c hecka apply: OHVAC —Gas Tank ❑Gas Piping _Shutters QWindows/Doors ZElectric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch Total Sq. Ft of Construction: 30.4 total for 2 S Ft. of First Floor: Cost of Construction: $ 1800.00 For bo}h Utilities: Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Miller LLC Name: Anne Dumond Address: P.O. Box 4900 Company: Canopy Specialist LLC City: Scottsdale State: AZ Address: 3301 State Road 574 West City: Plant City State: FL Zip Code: 85261 Fax: Phone No. Zip Code: 33563 Fax: 813-752-3249 E-Mail: Phone No. 813-703-6844 / 813-352-6163 cell Fill in fee simple Title Holder on next page ( if different E-Mail: canopyspecialistl@gmaii.com State or County License: CBC1259301 from the Owner listed above) If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. 1 SUPPLEMENTAL it'ONSTRUCTION - LIEN I I EN LAW INFORMATION - DESIGN ER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Stillwater Technologies Name: Address: 203 Hiliscrest St Address: City: Orlando State: FL City: State: Zip: 32801 Phone 407-206-7222 Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Applicable Name: —Not 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 Court 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 roams and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement suit in your paying twice for improvemq6ts to your property. A Notice of Commencement must be re ord d and posted on the jobsite before e T�rs\ inspection. 1fyou intend to obtain financing, consult with ZIendTr or an attorn before comment' rk or recordirlRVour Notice of Commencement. SignaturE•BfQOwner Signature", �hllado[Pcense Holder STATE OF FLO ll�,A STATE OF FLORID COUNTYOF*V) sbornuith J COUNTY OF 141%hornuaA Or The for Ing instrument was acknowledged before me this !W.d :ay of Apy-!% 26�9 by The forgoing instr s acknowledged before me this —24 Xerjt was day of by Anna zlimm-cl A me 2�) Name of person making statement Name of person making statement Personally Known V' OR Produced Identification Personally Known f/ OR Produced Identification Type of Identification Type of Identification Produced Produced (Sign i Lunacid"i _MMAZ (Signal: MICHELLE TEIVIRTE'MICHELLE Comq i55Notary State of Public Commission # bu unz on 14 0 My Comm. Expires Mar 27 . 20211 , 31R) MRAZ TEMPLE Commis Public - state op Cc Commission # GG 0 2140 My Comm. Expires Mar 27. 2021 REVIEWS SUPERVISOR P _V IRG IffAT-1 0 N SEATURTIE MANGROVE FRONT ZONING COUNTER REVIEW REVIfW RE REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17