HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: C/ Permit Number:
gMNED
-x BY
St. Lucie CoLLnty RECEIVED
Building Permit A lication
Planning and Development Services MAY 0 7 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permltt
Phone:(772)462-1553 Fax:(772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION: --'-
Address: 815 E PRIMA VISTA BLVD, PORT ST LUCIE
Legal Description: RIVER PARK UNIT 3
Property Tax ID #: 3419-515-0002-000-0
Site Plan Name:
Project Name: 128B9/PORT ST LUCIE
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: . .
INSTALL 21" LED ILLUMINATED 'SUNOCO' LIGHT BOX (19.69SF) x2, 5' STACKED VINYL
STICK -ON 'OFN' DECAL (7.17SF) x2 & 8' VINYL STICK -ON 'OFN' DECAL TO EXISTING CANOPY
CONSTRUCTION INFORMATION:
- _ ..
.''
rtiona Wor to e e orme un
0HVAC 11 Gas Tank
er t is permit—c ec
Gas Piping
a
apply:
Shutters
Windows/Doors
Electric El Plumbing
Sprinklers
ElGenerator
0 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2500.00
Utilities:
S'C
Ft. of First Floor:
Sewer D Septic
Building Height:
.OWNER/LESSEE:
CONTRACTOR: '
Name PRIMA VISTA SERVICE STATION
Name: RAYMOND SCOTT POLLITT
Address:15300 NW 7TH AVE
Company: ALUMINUM PLUS
City: MIAMI State: FL
Zip Code: 33169 Fax:
Phone No. 386-734-2864
Address: 750 E INTL SPWY BLVD
City: DELAND State: FL
Zip Code: 32724 Fax:
Phone No. 386-734-2864
E-Mail: APLUS@ALUMINUMPLUS.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: APLUSCPALUMINUMPLUS.COM
State or County License: CBC056832
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name: ENGINEERED PERMITS INC
Add re SS: 311-A S WOODLAND BLVD
City: DELAND State: FL
Zip: 32720 Phone 386-734-0830
Q'RMAl'ION
MORTGAGE COMPANY. Not Applicable
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: -tiootApplicable BONDING COMPANY: �NotApplicable
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 recording your Notice of Commencement.
Signature of Owoeq Lessee/Contractor as Agent for Owner
Signature of Cont oror Licen
STATE OF FLOBIDA
STATE OF FLORIDA
COUNTY OF &I, �,iw.
COUNTYOF
The forgoing instrument was acknowledged before me
The forgoing instrument vas
acknowledged before me
this�dayof�., .20�by
this �-day of 61
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me of person making statement
a of perso9 making statement
l K Personalnown � OR Produced Identification
Personally Known ✓
OR Produced Identification
Type of Identification
Type of Identification
roduced
roduced
(Sig ature of Nota blic-Stat
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Commission No q :VIA(tFF96 MJlat_
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SE URTLE
MANGROVE
COUNTER
REVIEW
RE IEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
5145110
)�5I S
RECEIVEDl
DATE
COMPLETED
Rev.8/2/17