HomeMy WebLinkAboutPort St Lucie signed applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/21/2020 Permit Number:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Sian
Building Permit Application
PROPOSED IMPROVEMENT LOCATION:
Address: 7061 US highway 1. Port St. Lucie, FL
Property Tax ID #: 3422-211-0012-000-0
Site Plan Name:
Project Name: Goodblend
DETAUD'DESCRIPTION OF WORK:
Reface existing illuminated wall sigr 4'0"x7'6"=30 s`
Commercial x Residential
Reface existing double faced monument sign 4'4"x16'=69.333 sf
Lot No.
Block No.
i CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas ank _ Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 99
Cost of Construction: $ 7500
Windows/Doors
_ Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
Nam eAtaT*.trrGitmanes f' S L J; y f _, H� IrA_ ^ g L'
Address: J-111 0%,,�'
City: 1v •. State:
Zip Code: 7 T C C Z Fax:
Phone No.
E -Mail: maria ng. visiondevelopment@gmail. con,
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: John Hose
Company- 2 Visual Inc.
Address: 5760 Zip Drive
city: Ft. Meyers State:FL
Zip Code: 33905 Fax:
Phone No 239-687-3223
E -Mail
State or County license ES0000361
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.
RENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: John J Orlando Name:
Address:165 111d I Ridge oa Address:
City: 1Vf8Gon State: _3_ City: State:
_
Zip: 3121T- 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'noider to build the subject structure
which is in conflict any Home Owners Association rules, bylaws and that may restrict or such
with applicable or covenants prohibit
structure. Please consult witn 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 Ru !ding 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, sgns, 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 rNANCING, CONSULT
WITH YOUR LENDER OR A ORNEY BEFORE RECORDING YOUR NOTICE OF C ENT."
actor/License holder
Signature f owner, Lessee/Contractor as Agent for Owner SignaturerLOF
STATE OF FLORIDA STATE IDA C
COUNTY OF ovtn, t� COUN0 OF
The forgoing instrument was acknowledged before ne The for omg rostrum tt was acknowledged before me
this �_ day of q-.p..j , 70 jt,Z bt this, day of 20i.) by
Name of person making statement. Name of person marc ng atement.
Personally Known OR Produced identification Personatly Known OR Produced Identification
Type of Identificati Type of Identification
Produced Produced
(Signature of Notary Publi S '"' •F ; g y a bf.Tl ridgitF pulAo
om n1GG27T439 Si nature of Nota Pub Haw1
°.: • - Novamber18,2022 / :
Eg�itrgrdn
e
Commission No. GG227� '•' •, N+uMuE�'1�9 mmission No.�!_G��3
g`-`
REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGETATION j SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
'DATE
COMPLETED
Rev.Z/7/`izS