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All APPLICABLE INFO MUST BE"C MPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� Permit Number:
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NSN-22447
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Building Permit.Application ,�
Planning and Development Services ✓(/ �CG�
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 S� � 1p1®
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residenf4o
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:
Replacing(4)drive thru menu boards.
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:$ 1200 00 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:JF
L Address: 1975 Joe B Jackson Parkway
Zip Code: 33133 Fax: 305-937-1311 City: Murfreesboro State: TN'I
Phone No. 305-937-0300 Zip Code: 37127-7779 Fax:
E-Mail: hasprrrlaw.com Phone No 813-463-6600
Fill in fee simple Title Holder on next page(if different E-Mail jon@dattumdevelopments.com
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from the Owner listed above) State or County License CGC1515769
2
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.
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L/C 009-1798
S;CIFPLEMENfiA.L CONST RUCTION;L`IEN".LAW IN"FORMATION Y g"
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DESIGNER ENGINEER: Not Applicable ER/ENGINEER: pp MORTGAGE COMPANY: X Not Applicable
Name:ANTHONY SCENNA Name:
Address:1000 WHITE HORSE ROAD,SUITE 406 Address:
City: VOORHEES State: NJ City: State: 11
Zip: 08043 Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: X Not Applicable l
Name: Name:
li Address: Address: j
City: City: j
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
improveme ,ts to your property.A Notice of Commencement must be recorde and posted on the jobsite
before th irst ,inspection. If you intend to obtain financing, consult with lehdr or an attorney before
comme cin work or r rding your N iSo Commencement./'
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WN /ture of Q caner/ essee ont�r�Cto as Agent-for Owner ign re of Con actor/License Holder
STATE OF FLORIDA On STATE OF FL IDA
COUNTY OF A ^,� �� COUNTY OF C�krr% hQe Q
The forgoing instrument was acknowledged before me The forgoing inst�r�ment was acknowledged before me
this�day of j0�)i,..-N6 0,20_0by this LA day ofy 20� by
Name of person making statement. Name of person making statement.
Personally Known_ ,/OR Produced Identification Personally Known �OR Produced Identification
Type of Identification Type of Identification
Produced `is�Pu'•., ANNIA.E.GARCIA Produced
AW.,
Notary Public—State of Florida
o€ Commission=GG 351725
Comm.Expires Aug 26,2023
n throw h National Notary Assn.
(Signature of Notaryc- I (Signature of N a koubTY1 T (g{goLq I gI SO4RIN
MY COMMISSION#.GG600
Commission No.6cP o:5y7 a (Seal) Commission No. EXPIRES:June08,29�al
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW;
DATE I '
RECEIVED
DATE
COMPLETED
Rev.