HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: A n. 19SCANNED Permit Number:
BY
St. Lucie Countv RECEIVED
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Building Permit ApplicatiLnPR 2 3 2019Planning and Development Services e County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: SIGN
PROPOSED IMPROVEMENT LOCATION:
Address: 8625 S US HIGHWAY 1 PORT ST LUCIE
Property Tax ID #: 3414.501.1912.500.6
Site Plan Name:
Project Name: AMERICANN WELLNESS
DETAILED DESCRIPTION OF WORK:
INSTALL ILLUMINATED WALL SIGN, CONNECT TO EXISTING ELECTRICAL CIRCUIT.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No.
Block No.
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
)C Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 28.9
Cost of Construction: $ 5,200.00
Sq. Ft, of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER LESSEE
CONTRACTOR:
NameAMERI NNWELLNESS
Name: ROBERT GRALAK
Address:8625 S US HIGHWAY 1
Company: FLAMINGO SIGNS LLC
City: PORT ST LUCIE State: _
Zip Code: 34952 Fax:
Phone N0.281-1520
Address: 4444 SE COMMERCE AVE
City: STUART State: FL
Zip Code: 34997 Fax: 220.7768
Phone N0772.220.7377
E-Mail:debbie@americannwc.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailflamingosigns@aol.com
State or County License ES 12001146
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION` LIEN`LAW INFORMATION.'
DESIGNER/ENGINEER: _ Not Applicable
Name: JAMES FAIT
MORTGAGE COMPANY: _ Not Applicable
Name:
Add reSS: 12201 BE COLBY AVE
Address:
City: HOBE SOUND State: FL
Zip: 33455 Phone 2m2677
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name' CROWNE ST LUCIE ASSOCIATES LP
BONDING COMPANY: _Not Applicable
Name:
Address: 1015 FINANCIAL CENTER
Address:
City: BIRMINGHAM Al-
City:
Zip: 35203 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Assoc atlon rules, bylaws or anscovenants 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT ATTORNEY BEFORE RECORD OUR NOTICE MENCEMENT."
Signature o ctor as Agent for Owner
Signature a Holder
STATE OF-FLORIDA
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