HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONPlanning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x
ALL APPLICABLE INFO MUST BE CGifnri.ETED FOR APPLICATION TO BE ACCEPTEo Date: I�In �g S�q Permit Number: I V j�
II
SCANN O
BY
St. Lucie Co
Building Permit 4yplication
OCT 15 2018
ST. Lucie County, Pern
Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address:_iZ-Q•
Legal Description: LAKEWOOD PARK -UNIT 12-A BILK 179 LOTS 1,2,3,4 AND 5
Property Tax ID g: 1301.615.0212.000.4
Site Plan Name:
Project Name: BUTTERFIELD PHARMA
Setbacks Front Back:
& HARDWARE
DETAILED DESCRIPTION OF WORK:
Right Side:
Left Side:
Lot No.
Block No.
REMOVE EXISTING WALL SIGNS AND REPLACE WITH NEW ILLUMINATED WALL SIGNS,
CONNECT TO EXISTING ELECTRICAL SUPPLY
CONSTRUCTION INFORMATION:
itiona wor to a erorme
❑HVAC
under tis permit — checka
Gas Tank ❑Gas Piping
apply:
❑Windows/Doors
_Shutters
Electric ❑Plumbing
[]Sprinklers❑Generator
❑Roof
❑ Roof pitch
Total Sq. Ft of Construction: 136
S Ft. of First Floor:
Cost of Construction: $ 5,800.00
Utilities:llSewer
❑Septic
Building Height:
OWNERAESSEE: -
CONTRACTOR:.
Name .Ld2%6 (dT t•.9.00-IOC..
Name: �BRi��i7 f PGvFtL
Address: \%L[ n ofaJ 9.C.,? Aj i'�Au C..
Company: FLAMINGOSIGNS LLC
City: t%t PIS_ State:FL
Zip Code: 34949 Fax:
Phone No.979.3355
Address: 4Qt-U4U 6� Ce7tNt�iG2!'i r}�9Yi
City: 4ii �JA r of State: FL
Zip Code: 34997 Fax: 220.7768
Phone No. 772.220.7377
E-Mail:DAVEWRIGHT@ME.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: FLAMINGOSIGNS@ OL.COM
State or County License: ES 12001146
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
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 penpit 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
improvement erty. A Notice of Commencement must be recorded and posted on the jobsite
before t Irst inspection. I intend to obtain fina . , consu er or an attorney before
com ncin work or recordingNotice of Comm ncement.
Rev. 8/2/17
�SUPPLEIVIENTALCONSTRU
N LIEN LAW INFORMATION
•'' ' ' . � a°
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY.
� Not Applicable
Name: �-MtJS
Name:
Address: taa�t s� e�cs3y
ka7`L
Address:
City: v>��y
State: 'Ft-,
City:
State:
Zip:'�3KS� Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
7o Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
Sign t re of Contractor ' ense der.
Signature ner/ Lessee/Contr as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA k�2
COUNTY OF M a n T � H
COUNTY OF 7/K
The forg9ing instrument was acknowledged before me
The for oing instrument was acknowledged before me
for
0�7o3P�
this �day of Oc7 lS ,20/? by
this ,20/8• by
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced L tc E.ysv
Produced � c'
�42•
�Da�G,
(Signature of Notary Public- State of Florida)
(Signature of Notary Pub i - 5 ate of F o i a
Commission No.740�ry PQ,�te of Florida
Y °� Notary P�plic to of Florida
Commission No. � � Q � � Robert 1ARt�H
Robert M Rice
'? �a My Commission GG 072776
Worn° Expires
y e My Commission GG 072776
"r°� Fob Expires 04103Y2021
O4/03r1027
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