HomeMy WebLinkAboutBuilding permit application A
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED aa�� /y
Date: C9' � Permit Number: "���n 1)200
NSN-22447
•
i
Building Permit Applicat
Planning and Development Services
��on�G�
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 .4f �®
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residenbi1
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
I
DETAILED DESCRIPTION OF WORK:
Replacing(4)drive thru menu boards.
I
j
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:$ 12,4960 3, ` OC) Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Xenon S.A. Name: Stanley Kevin Maclin.
Address: 3109 Grand Avenue#304 Company: MasTec Network Solutions,LLC.
City: Coconut Grove State:JFL 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: has a,rrrlaw.com Phone No '813-463-6600
I
Fill in fee simple Title Holder on next page(if different E-Mail jon@dattumdevelopments.com
i
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
SUPPLEMENT ALCONSTRUCTION 1EN CAWINFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable)
Name:ANTHONY SCENNA Name:
Add ress:1000 WHITE HORSE ROAD,SUITE 406 Address:
City: VOORHEES State: NJ City: State: I
Zip: 08043 Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: X 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 thepermit 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 Pe first inspection. If you intend to obtain financing, consdit with'I rider or an attorney before
com ncin work or recording our N tic of Commencement,'
ignature of Owner/Less,eeVContrac r as Agent forwne-rr Si tidf C e c ntractor/License Holder
STATE OF IDA STATE OF F RIDA
COUNTY OF Inn _1D J4Aev . COUNTY O
The forgoing instrument was acknowledged before me The forgoing instrument—was acknowledge)before me
this-aa day of k2LO,:�e�.;,-_IhPi 20oj by this day,of 20 by
Name of person making statement. Name of person maNg-state ment.
Personally Known ti• -B.ro uce AI RPi D26,2023
Personally Known OR Produced Identification
Type of Identification :° ��: Notary Public•StType of Identification
Produced a€ commission# Produced
'••-e Fry°` MyComm.ExpiresBonded through Nation
(Signature of Notary ,ubll -State of Florida) I ure of Nota u Ic-Sta
MY COMMISSION#,OG600
Commission No.(oma (n (Seal) Commission No. '" . IRES:June Mel
OF
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ;SEA-TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVitV1f°` REVIEW
DATE
RECEIVED -
DATE
COMPLETED
iev. 9/26/18