HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED PermitNumber:
r BY RECEIVED
St. Lucie County
Building Permit Application JUL 2 5 2018
Planning and Development Services ST. Lucie 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 III
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: WHITE CITY GARDEND -AN UNRECORDED PLAN IN SEC 1536-40, LOTS 11, 12, 13, 14 AND 15
LESS RD R/W (1.21 AC 52.708 S.F.)
Property Tax ID #: 3415-502-0011-000-4
Site Plan Name: P S L Burger King & Litterman
Lot No.
Block No.
Project Name: Burger King
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: 11
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I CONSTRUCTION INFORMATION: III
OHVAC UGasTank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ %L� O o
penuIL—LIMLn au apply.
Gas Piping _Shutters Windows/Doors
Sprinklers 0 Generator 0 Roof
Sy �Ft. of First Floor: _
Utilities: ll Sewer 0 Septic
Building Height:
Roof pitch
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. 954/909-8141
Address: 11351 49th Street North
City: Clearwater State: FL
Zip Code: 33762 Fax:
Phone No. 727-5733076
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: ranee@signpennitsplus.com
State or County License: ES0000150
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
-, ft
-
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
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
ionbylaws
conflict withanyre ictlons which prohibit such
for
trts
may
structure. hpyolur Home Owners Association drrevieur deed any Y 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: roam 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.
CIA,_A
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signa ure of Contractor/License Holder
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Type of Identification
Type of Identification
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Rev.8/2/17