HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6.17.20 Permit Number:
O
r, z Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: SIGN
PROPOSED IMPROVEMENT LOCATION:
Address: 9700 Reserve Blvd Port St Lucie FI 34986
Property Tax I D #: 3327-314-0021-000-0
Site Plan Name:
Project Name: PATCH REEF TITLE
DETAILED DESCRIPTION OF WORK:
INSTALL ILLUMINATED WALL SIGN, CONNECT TO EXISTING ELECTRICAL SUPPLU
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: 22.5
Cost of Construction: $ 5,100.00
_ Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Reserve Realty and Investment Co LLC
Name:ROBERT D GRALAK
Address:4455 Military Tr #102 Jupiter, FL 33458
Company: FLAMINGO SIGNS
City: Jupiter State: _
Zip Code: 33458 Fax:
Phone No.561.204.4354
Address:4444 SE COMMERCE AVE
City: STUART State: FL
Zip Code: 34997 Fax: 220.7768
Phone No772220.7377
E-Mail:cposess@kw.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailflamingosigns@gmail.com
State or County License ES12001146
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: .AMESPAIT
Address:l963 SE PALM cm/ Ro
Name:
Address:
City: State:
Zip: Phone:
City: STUART State: FL
Zip: 36997 Phone 2277
FEE SIMPLE TITLE HOLDER: x 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 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 paying twice for
improvements to your property. A Notice of Commence be recorded in the public records of St.
ie -County and n the jobsite before th st inspection. If yo d to obtain financing, consult
with lender or an attorneyre commen ' otce o ommencement.
Signature o e/Lo or as Agent for Owner Signatur act r is r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF /",Altr i y COUNTY OF Ar.4 I
Swor to (or affirmed) and subscribed before me of Swor (or affirmed) and subscribed before me of
hysical Presence or _ Online Notarization Physical Presence or Online Notarization
this I � day of _7 W Ne 2020 by this /7 day of 3llr c 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification t/ Personally Known OR Produced Identification t�
Type of Identification Type of Identification
Produce 0 'f i r ex's L fCI'Alr6 Produced dui v [ R �r
(Signature of Notary P�-� (Signature of Notary
�t
I i Notary Public State of Florida /
Commission No. 4Z Notary - F R(Q)A Rice Commission No. P o 7�7 Public Stall of Fbris,y
c ,p� My Commission GG 072776 Robeil$eali)e
on o' Eywes 04/03/2021 +xc p� My Commission GG 072771
OF E.r�ires 04/03/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
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