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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �;� , Ip SCANNED Permit Number: El 9B BY ,� ,-J A; St. Lucie County • =RECEIVEDBuilding Permit ApplicationPlanning and Development ServicesBuilding and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III PROPOSED IMPROVEMENT LOCATION: Address: �C>o t f= Apo 1?-0 • Legal Description: LAKEWOOD PARK -UNIT 12-A BLK 179 LOTS 1,2,3,4 AND 5 Property Tax ID #: 1301.615.0212.000.4 Lot No. Site Plan Name: Block No. Project Name: BUTTERFIELD PHARMACY & HARDWARE Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: MOVE EXISTING MONUMENT SIGN BACK 6' DUE TO ROAD WIDENING. LED RETRO FIT REPLACE EXISTING FLOURESCENT LIGHTING WITH LED. REFURBISH AND REPAINT SIGN. CONSTRUCTION INFORMATION: . e III I�HVAC Gas Tank Electric Plumbing Total Sq. Ft of Construction: 136 Cost of Construction: $ _ 3 SOO. DO Derma—cnecxdu apply: Gas Piping _Shutters Windows/Doors Sprinklers Generator 0 Roof = Roof pitch S Ft. of First Floor: Utilities:DSewer Elseptic Building Height: OWNER/LESSEE: CONTRACTOR: - -- Name Name: O'F21-04' G+ZA�F1� Address: 1tU ©oati1 Company: FLAMINGO SIGNS LLC City: tics, n��er�: State:FL Zip Code: 34949 Fax: Phone No.979.3355 Address: +-ti1Ltq yL cort tXZoW aks� City: 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@AOL.COM State or County License: ES 12001146 If value of construction is $2500 or more,.a RECORDED Notice of Commencement is required. SUPPLEMENTAL N LIEN';LAW'INFORMATION:,... Name: CTAt 1Y� G2�T Address: 0ez--v,4 Aot, City: u.ovf_ State: mac-, Zip: ­,3K55- Phone ah3-o167 7 FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: > Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: ->o Not Applicable Name: Address: 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. 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 improvementour-uopeerty. A Notice of Commencement must be recorded and posted on the jobsite befor�he- first inspection. It you4titend to obtain financiggre su twit a or an attorney before commencine work or recordine vour Rotice of Commencement. Sign a of Owner/ Lessee/Con for as nt for Owner Signajtrreofgontractora Holder STATE OF FLORIDA fh/cY /N STATE OF FLORIDA Pg41-7 //f COUNTY OF COUNTYOF The forgoing instrument was acknowledged before me The forgoing instrum nt was acknowledged before me this Sr dayyjjof 0 OT 2011 by this 1 S dayof C) eT 20 t7 by ff'' /'yrgCsh-r I-/L4LAK /BOO t# 7 AA,&UK Name of person making statement Name of person making statement Personally Known ✓ OR Produced Identification Personally Known /i OR Produced Identification Type of Identific ion L[CCXSN Type of Identific"jon - /7///I lc6K51 Produced /4. Produced /�//JJ- (jJ (Signature of Notary Publ' F it (Signature of Notary I r' Notanc Pu is State of Fltmde Commission No. (�- V RoW Ice /. °r" �yotary Public State j f Florida Commission No. '�- 4Yoben M &al c • My Commission GG 072776 or 'OF Expires 04103/2021 "� �o� My commission GG 072776 OF n° Expires 04/03Y202/ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17