HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR As�L'�t"(113�b I TO BE ACCEPTED
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Date: ,�1ib— BY Permit Number: � %o 1 ^ O co 7lQ
St. Lucie County LSTLucUie
CEIVED
Building Permit ApplicationJUL 2 6 Z018
Planning and Development Services County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial SIGN Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: LLa,.
Legal Description: WHITE CITY GARDEND - AN UNRECORDED PLAN IN SEC 15-36-40, LOTS 11, 12, 13, 14 AND 15
LESS RD R1W (1.21 AC 52.708 S.F.)
Property Tax ID #: 3415-502-0011-0004 Lot No.
Site Plan Name: P S L Burger King & Littennan Block No.
Project Name: Burger King
Setbacks
Back: Right Side:
DETAILEDDESCRIPTION OF WORK:
Left Side:
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CONSTRUCTION. INFORMATION:
itiona wor to e e orme under t—checkispermit
11HVAC Li Gas Tank []Gas Piping
a
apply:
Shutters
Q
Windows/Doors
_
Electric
0 Plumbing Sprinklers
Generator
0
Roof = Roof pitch
Total Sq. Ft of Construction: Sq_ _F_t. of First Floor:
Cost of Construction: $ 0 U Utilities: —Sewer[]—Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Seven Real Estate Holdings LLC
Name: David Wayne Allen
Address:117 Hidden Glen Way
Company: Allen Industries of North Carolina, Inc.
City: Dothan State:AL
Zip Code: 36303 Fax:
Phone No.9541909-8141
Address: 11351 49th Street North
City: Clearwater State: FL
Zip Code: 33762 Fax:
Phone No. 727-573-3076
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: renee@signpermitsplus.com
State or County License: ES0000150
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: C,hr,e,+ioyt L-a.�le
_ Not Applicable
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MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: ; �Z 6 N. FRAA2
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Address:
City: Q lsc-2 atu-o,-
Zip: 3 Phone
State : V C
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
L--'ITlot 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 your Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF '1
STATE OF FLORIDA
COUNTY OF
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Name of person�r1aking statement
Name of perso aking statement
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Personally Known OR
Produced Identification
Type of Identification
Type of Identification
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Rev.8/2/17