HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
06-06-2019
SCANNED
a� BY
•
St. Lucie County
Planning and Development Services
Building.and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Sign
PROPOSED IMPROVEMENT LOCATION:
Permit Number: ILA O")' v IL41
RECEIVED
Building Permit Application JUL 08 2019
Commercial X Residential
Address: 1020 Shorewinds Drive' Fort Pierce ` FL
Property Tax ID #: 1425-701-0175-000-7
Site Plan Name:
Project Name: CUMBERLAND FARMS
DETAILED DESCRIPTION OF WORK:
permitting Department
St. Lucie CountY
Lot No. 10
Block No. 7
Manufacture and install one LED price board on existing gas canopy
Dimensions 2'- 4" x 11'- 0"' illuminated' left elevation' I A n ( IQ
Ma
Connect to existing electric provided by General Contractor'
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
-�Mechanical _Gas Tank —Gas Piping —Shutters —Windows/Doors
J Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total.Sq. Ft of Construction:
Cost of Construction: $ 1088.00
Sq. Ft. of First floor:
Utilities: _Sewer _Septic Building Height: 15'51/8"
OWNER/LESSEE:
CONTRACTOR:
Name Vsh Realty Inc. % Cumberland Farms Inc.
Name: Jeffery Adinolfe
Address:100 Crossig Blvd.
Company: Atlas Signs Holdings Inc.
City: Framingham State: _
Zip Code: 01702 Fax:
Phone No.
Address: 1077 West Blue Heron Blvd.
City: West Palm Beach State: FL
Zip Code: 33404 Fax: '561-863-4294
Phone No 561-863-6659
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail gabriele.h@atlasbtw.com
State or County License ES0000204
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: I 1
DESIGNER/ENGINEER: _Not Applica
Name: Theodore M. Mcgnlis, P.E.
Address: P.0.130.14724
City: NoM Palm Beach tate: FL
Zip: 33468 Phone561-8W3 659#1402/
FEE SIMPLE TITLE HOLDER: VNot Applicable
City:
Zip: Phone:
MORTGAGE COMPANY: - Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: ✓ Not Applicable
Address:
City:
Zip: Phone:
UWNER/ 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 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Ow e / see/Con G ccttor as Agent for Owner
STATE OF FLORIDA
COUNTYOF Pala-. ue�
The forgoing instrument was acknowledged before me
this _/-�4day of rT—tn-e_ ,20.1� by
Name of person rl�onstatement.
Personally Known OR Produced Identification
Type of Identification
Public State of Florida
Commission No.
Signature of 191
VKUcerise Hbrder
STATE OF FLORIDA
COUNTY OF�I�a(rn 121QcLel)
The forgoing instrument was acknowledged before me
this JA_day of."iUn-e- .204 by
(Tc,T e f) h Ael I "6k4_ .
Name of persorfrjaking statement.
Personally Known L--�OR Produced Identification
Type of Identification
Produced
,yyv 7,sn Notary Public State of Florida
A4YG, Gina Penney
0 N1y CommissN2 2G 122836
(Sign ure of Notary F,�Lblit5 ate of QIo)l a.)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
( I
DATE
COMPLETED
ev. 2/7/19