HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,l
Date: 12/26/2018 SCANNED Permit Number:( — i7�V,s
BY F
St Lucie
Count,;
Building Permit Application ReC4,o
Planning and Development Services Per SEC 2810/g
Building and Code Regulation Division 0
179
2300 Virginia Avenue, Fort Pierce FL 34982 St <uC/e opott
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x ResidenV6 nr
PERMIT APPLICATION FOR: Sign I
I PROPOSED IMPROVEMENT LOCATION: II
Legal Des pt rPFjIMA VISTA CROSSINGS REPLAT NO.3 (PB
Property Tax ID#:3422-�01-000-7
i.: X've
Site Plan Name:
gz
Project Name: Noonci
Setbacks Front1T-4' Back:
Right Side:
TRACT D1
Left Side:
Block No.
DETAILED DESCRIPTION OF WORK: II
Install new Illuminated Logo & channel letter/Raceway; Copy= 25.0 Boxed SQ.FT see engineer
drawings for details
I CONSTRUCTION INFORMATION: III
11HVAC DGas Tank
0 Electric 0 Plumbing
Total Sq. Ft of Construction: 25.0
Cost of Construction: $ 2436.95
Piping
UShutters
❑Windows/Doors
nklers
0 Generator
Roof
=
Roof pitch
S Ft. of First Floor: _
Utilities:Sewer E Septic
Building Height:
OWNER/LESSEE:Pr-PrD.aVista crossiraLLC % southeast Centers LLC
CONTRACTOR: Bryan D. Vaughn
Name Pr -Prima Vista Crossing LLC %Southeast Centers LLC
Name: Bryan D. Vaughn
Address: 1541 Sunset Dr Ste 300
Company: Creative Sign Designs
City: Coral Gables State: FL
Zip Code: 33143 Fax:
Phone No.
Address: 12801 Commodity Place
City: Tampa State: FL
Zip Code: 33626 Fax:
Phone No. 8137492317
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: candrade@creativesigndesigns.cam
State or County License: ES12600639
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPEEMENTAC CONS RUCTION LIEN LAW" :IN, ,NMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Chda l angiay
Name:
Address: 1200 Federal Hwy 20D,
Address:
City: Boca Raton State: FL
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address: 12801 Commodity Place
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
is in
which 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 our Notice of Commencement.
Ce5.V gr'J'e
'1144—
Signature of Owner/ Lessee/Contractor as Agent for Owner
Sigr of Contract r/Lic se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFMIsleomghcounn
COUNTY OFH sbomugn=e n
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 26 day of December 20_ by
this 26 day of December 20_ by
Cesar Andrade
Bryan D. Vaughn
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Q
/ �(
(Signature of Notary P
t e o lorida
(Signature of Nota
Commission No.
ON
= :�
, °•"4er'• D=F022,2021
Commission No. - .e- MY C073467
—
��1 ..,��, DE%�Q�RRA{j E.BRUNTON
MYCOII•ifrTl�S
,..,? ION # GG 073467
March 22, 2027
EX027EXPIRES:
-%°p, i�$ Bonded d,mritmBonded
Thor Notary Public Undemlitam
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
iI
DATE
COMPLETED
Rev.
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