Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr.. ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: 5' OC 1 BY St. Lucie County RFry • _ FD Development Services Building Permit Application 4T71�Maro9281e Building and anning and ode Regulation Division 3t ng ce0County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Sign PROPOSED IMPROVEMENT LOCATION: Address: eg•(o 1S 5 L)S "L43� ) PO Qlq —ram L43C\`7 Legal Description: ST LUCIE GARDENS 26 36 40 BLK 3 PART OF LOTS 12,13,14 AND 15 Property Tax ID #: 3414.501.1912.500.6 Site Plan Name: Project Name: 'PAM'S FABRIC NOOK Setbacks Front Back: Lot No. Block No. DETAILED DESCRIPTION OF WORK: Remove existing illuminated wall sign from existing store in same plaza. Install sign at new location and connect to exisitng electrical service. 1 I `fCoCic N)06< . NFORMATION: [1HVAC Li Gas Tank RJElectric 0 Plumbing Total Sq. Ft of Construction: 19.5 Cost of Construction: $ 850.00 nit - check a apply: Piping Shutters ?rs LJ Generator S Ft. of First Floor: _ Utilities: Sewer E]Septic E]Windows/Doors 11 Roof = Roof pitch Building Height: OWNER/LESSEE: ;' . `CONTRACTOR: ' Name ��t1 S': M'E,2tC i�o©t L Name:, 1?ORiG. GiZi4:l ML- Add ress: ,:;;6 =s' O-5 'r1.L3!.( l Company:, FLAMINGO SIGNS LL'C ' City: " Pa2S ` Sc- u2CA.-C.� State:FL Zip Code: 34952 Fax: Phone No.800.3019 Address: )44W`St-' Lid 5� r1k ZC�c fw y- City: 5rOA-Z-5 State:FL Zip Code: 34997 Fax: 772.220.7768 Phone No. 772.220.7377 E-Mail:pamsfabricnook@gmail.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: flamingosigns@aol.com State or County License: ES 12001146 If value or construction is .52500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ' DESIGNER/ENGINEER: _ Name: 4)A Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: 1 a ant tic i_s�-rf A `z, Address: City: L_k ova Zip:'33tfs74:;' Phone aEs33677 State: 'ter-• City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Name: C►_ +�?- �.,� L-0(-0— Not Applicable A,�eG • BONDING COMPANY: Name: _Not Applicable Address: in 1,S PIo" a-[_ 0ob QT -R- Address: City: City: Zip: � Phone: 561- Goa- q?n 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 ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 commeDdfiiV-6-rk­6`F­recer4'ng your Notice of Comm ent. Signatu of Owner/ Lessee/Contrac - r as Agent for 0 Signatur ense Holder STATE OF FLORIDA STATE OF FLORIDA 14l IF/t7//`f COUNTY OF /V 4 x r /i r COUNTY OF The fo going instrument was acknowledged before me The forgoing instrument was acknowledged before me this To daa�jyy/ of Pt %i-%y 20Lr by this 7 dayofof 4 Y 201 by // / / �(/ 9i L-A-7 U'/t. & LA It 40 0.0 rn7 i�Ak L 41- Name of person making statement Name of person making statement Personally Known ✓ OR Produced Identification Personally Known I-- OR Produced Identification Type of Identifi ation �^ Type of Identification Produced • --S'LL�iJe t-rs�x�,,,S Produced /J� iyr�CS 4:: ��,.St Drat y�Z_1C (Signature of Notary Public- State of Florida I (Signature of Notary Public- t t c I ' Commission No. �� o�ommission " ry Fk gfete of FloridaFlaiOs No. it �- S�%�terya ics to or FbrMe Oben aq� Robert M Rice < My commission GG 072776 4P Expires 0410312021 My Commission GG 072776 Expires 04/03/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW --REVIEW REVIEW REVIEW REVIEW REVIEW DATE i1 RECEIVED DATE COMPLETED Rev.8/2/17