HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �d\�` �� Permit Number:
RECEIVED
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- - -� - Building Permit Applicati n OCT 3 12019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE:Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 1020 Shorewinds Dr, Fort Pierce, FL 34949
Property Tax ID#: `y a. ''1 O 1 0 \-15" d Lot No.
Site Plan Name: Block No.
Project Name: Demolish stand alone pole mounted sign
DETAILED DESCRIPTION OF WORK:
Demolition existing sign-approximately 15 feet in height on 10 foot pole.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 0 Sq. Ft.of First Floor:
Cost of Construction:S 2,400.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name e V i"'\6 'PA,/L>7)S - /✓C Name:John Creswell
Address: 2� S�i.ti.�Cw�►�� 1�� : Company:Green Design Construction and Development
City:—f::-.r Pvcrc e_ State: tL Address:4459 SE Kubin Ave
Zip Code: 3�9V J Fax: City: Stuart State:FL
Phone No. Zip Code: 34997 Fax:
E-Mail: Phone No772-210-6814
Fill in fee simple Title Holder on next page(if different E-Mailjohn@gdcflorida.com
from the Owner listed above) State or County LicenseCGC1516250
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.
MATION:'`
SUPPLEMENTAL-CONSTRUCTION L[EN LAW INFOR
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: ' Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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
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
-7LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signa jce'of Owner/Lessee/Contractor as Agent for Owner Signat of Con ractor/Licens Holder
STATE OF FLORIDA ATE OF FLORIDA
MIl(� I
COUNTYOF `mak. LJc�-� COUNTY OF n
The forgoing instrument was acknowledge before me The r oing instrum nt was acknowledged before me
this 3� day of dot 20 1 by this day of O 'L+bIw� 20� by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification _
Type of Identific tion Type of Ide tification
Produced L_ Produced ft ( "AAXn
(Signature of Notary Pu ic-State of Florida) (Sign u ee o a y 1 - 0 0 1
IT Bei Notary Public State of Florida ,
Commission No. oda ad Seal `F Deborah L Pappalardo r— ;^
�� (Seal) Com Q My MM ssiod( �; 357536
1
Expires 07/22/2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MA`NGR.U�fE,
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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