HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-31-2018 SCANNED Permit Number: 185DI -n t LIQ
BY I I —
St. Lucie County AF`% FAM"
LGEOVE
Building Permit Applicatio
Planning and Development Services AUG 3 1 2018
Building and Code Regulation Division
2300 tdirginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x ftsidential
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: 10OW KINGS HIGHWAY
Legal Description: 12 35 39 SW 114 OF NW 114 - LESS ORANGE AV R/W AND LESS KINGS HWY AND LESS CANAL RM
AS IN OR 246-2371,247-2861,240-2170 AND 3122-`1299- (19.60 AC) (OR1077-606:608:809)
Property Tax ID #: 2312-231-0003-000/5 Lot No.
Site Plan Name: FLYING J # 622 Block No.
Project Name: FLYING J # 622
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
�,Tr REMOVE OLD DIRECTIONAL SIGNS AND INSTALL NEW DIRECTIONAL SIGNS
,�NN�'
CONSTRUCTION INFORMATION:
A0ditionalworKtobrejertormed under this permit —check all apply:
1JHV Gas Tank Das Pip InShutters E]Windows/Doors
_
ZElectric El Plumbing []Sprinklers []Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq Ft. of First Floor:
Cost of Construction: $ 3.400.00 EA utilities: ]Septic Building Height:
n SevverE
OWNER/LESSEE: PILOT TRAVEL CENTERS
CONTRACTOR: TEXAS REPUBLIC SIGNS, LLC
NameLANDONLANE
Name: MICHAEL B EVERETT
Address: 5508 LONAS DR
Company: TEXAS REPUBLIC SIGNS, LLd
Address: 2211 PECH RD
City: KNOXVILLE State: TN
City: HOUSTON State: TX
Zip Code: 37939 Fax:
Phone No. 877-566-7378
Zip Code: 77055 Fax:
E-Mail: N/A
Phone No E�32-865-4662
Fill In fee simple Title Holder an next page I If different
E-Mail: BRAD@TEXASREPUBLICSIGNS.COM
from the owner listed above)
State or County License: ES12001632
If value of construction Is $2SOO or more, a RECORDED Notice of Commencement E required.
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S Q - 0 OL
DESIGNER/ENGINEER: Not Applicable
Name. 5'ae� we-FolauziJ
M,
MORTGAGE COMPANY: Not Applicable
Name:
Address: 41&AIA'
tffF
Address:
City: ;-IL-P-PAWeC State: 4ve.
ZIP: Z7_4EP& Phone 291 - 9 e-t - 74rAF —
City:
Zip: _ Phone:
State:
FEE SIMPLE TITLEHOLDER: NotApplicable
Name: —
BONDING COMPANY-
Name:
JC-Not Applicable
Address:
Address:
City:
Zip: _ Phone:
City:
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.LucieCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conlict with any applicable Home Owners Asiociation rules, bylaws or ano 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_ioWd to obtain financing, consult with lender or an attomev before
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STATE OF RZM ATE OF ELORM
COUNTYOF //Jpae COUNTY OF_,6e,9e".k
The forgoing instrumentwas acknowledged before me
thisaf_dayof ASvf, 120_& by
I
Name of person making statement
Personally Known &-� OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Ejoridli
Commisst No.
0 (SeA*SON LUKE
Notary Public, State of
Comm. Expires 04-09.
REVIEWS I FRONT I ZONING I SUPERVig
COUNTER REVIEW I REVIEW
Rev.
The forgoing instrument was acknowledged before me
this�Mdayof 9!2� 20_& by
Name of persopzldking statement
Personally Known
_ OR Produced Identification
Type of Identification
(Signature of Notary Public- State of4lialfth)
ision No.
VEGETATI
REVIEW
M&WMLUKS HALTOM
Votary Public, State of Tax;
Comm. Expires 04-09-202
REVIEW I REVIEW