HomeMy WebLinkAboutBuilding permit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 00b— 0210 o�
NSN-22447
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Building Permit Application�
Planning and Development Services �k a O
Building and Code Regulation Division 'Cy�s�P
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: 7626 S.US Highway 1,Port St.Lucie,FL 34983
Property Tax ID#: 3422-802-0005-000-2 Lot No.
Site Plan Name: Block No.
Project Name: McDonald's NSN-22447
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DETAILED DESCRIPTION OF WORK:
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Replacing(4)drive thru menu boards.
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
X Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 12,4 .31, 1M Utilities: —Sewer —Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
Name Xenon S.A. Name: Stanley Kevin Madin
Address: 3109 Grand Avenue#304 Company: MasTec Network Solutions,LLC.
City: Coconut Grove State:_FL Address: 1975 Joe B Jackson Parkway
Zip Code: 33133 Fax: 305-937-1311 City: Murfreesboro State: TN
Phone No. 305-937-0300 Zip Code: 37127-7779 Fax:
E-Mail: hasnarrr.law.com Phone No 813-463-6600
Fill in fee simple Title Holder on next page(if different E-Mail jon@dattumdevelopments.com
from the Owner listed above) State or County License CGC1515769
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.
L/C 009-1798
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SUPPLEMENTAL CONSTRUCTION LIEN LAVV INFORMATIQN
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not*Applicable 4
Name:ANTHONY SCENNA Name:
Address:1000 WHITE HORSE ROAD,SUITE 406 Address:
City: VOORHEES State: NJ City: State: I '
Zip: 08043 Phone Zip: Phone: I
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: X Not Applicable)
Name: Name: -
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
cQ?I;mencing work or recording y2pr Notice of Commencement
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Signature of Owner/Lessee/Contractoras-Agent for 0ner Si ure of ontrIctor/License Holder
'T�RI(X1'LQI�W.
STATE OF FLORIDA STATE OF FLO ,.Q
COUNTY OF I..� ` A „ — n fir_ COUNTY OF ri��(� ��C1r1
The forgoing instrument was acknowledged before me The forgoing instrwent was acknowledge before me
this day of an�,',o .,,, y,c�,20Jg by thisZl day of �_ 20_ by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatio Type of Identification
Produced ;a1�°Ylp" ANNIA E.GARCIA Produced
PQb1ic Sate of Florida
` Commission s GG 351725
'Eor °. My Comm.Expires Aug 26.2023
nded through National Notary Assn. @figt
(Signature of Notary Pu 'c- ate of orlda) Ignature of Notary Pu icj%11t�- i°�i Leall Commission No. (.��� �s�'��1 (Seal) Commission No. vw.0o AA
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEWI
DATE
RECEIVED
DATE
COMPLETED
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