HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 9.15.20 Permit Number:
Building Permit Application
Planning and Development Services
Building and code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 46.2-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: WALL SIGN
PROPOSED "IMPROVEMENT LOCATION:
Address: 8629 South U.S. 11 Port Saint Lucie, FL 34952
Property Tax ID #: 3414-501-19127-500-6
Site Plan Name:
Project Name: SALON VIVACIOUS & DAY SPA
"DETAILED DESCRIPTION OF WORK:`
INSTALL ILLUMINATED WALL SIGN, CONNECT TO EXISTING ELECTRICAL SUPPLY
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 15.75 Sq. Ft. of First Floor:
Cost of Construction: $ 3,100.00 Utilities: —Sewer _Septic Building Height:
:OWNER/LESSEE: ..._; _. _. _..„__ .
CONTRACTOR:
Name SALON VIVACIOUS ..
Name:ROBERT GRALAK
Address:8629"South U.S. 1
Company: FLAMINGO SIGNS LLC
City: PORT ST.LUCIE FL State: _
Address:4444 SE COMMERCE AVE
Zip Code: 34952 Fax:
City: STUART State: FL
Phone No.772-873-9555
Zip Code: 34997 Fax:
Phone N0772.220.7377
E-Mail: ramirojnobre@gmail.com
E-Mailflamingosigns@gmail.com r'. a voe ork(itlk—
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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State or County License ES 12001146
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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:JAMES PAIT
Name:
Address: 1963 SE PALM CITY RD
Address:
City: STUART State: FL
City: State:
Zip: 34994 Phone772.263.2677
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: x Not Applicable
_
Name: Crowne St Lucie Associates LP
Name:
Address: 1015 Financial Center
Address:
City:
City: Birmingham AL
Zip: Phone:
Zip:35203 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 Commencement must be recorded in the public records of St.
Luoie County and poste • on the jobsite before the firs tFo�t-f tend to obtain financing, consult
with lender or an attorneybefore commencing wok or recording our Notic Commencement.
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Signat seems ractor as Agent for Owner
Signat of Contr c or cerise der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF 7 i M
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or `11 Online Notarization
✓ Phxsical Presence or Online Notarization
this 15-day of S if /17 c A s r , 2020 by
this 1 r day of 2020 by
/2.v ,1 L:� n -? 1-)J L it �
;�.0 'J
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identificationy
Type of Identification
Type of IdetAtification
Produced n I v ' S
Produced V/t'' V Yii`3 L < < C/• f c
/GI
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/'mil G_e"r / Z�_"J
(Signature of Notary Public-
oT.VPublic State of Florida
Signature of Notary Public- Stat f r'
g!_a_f9�,9TXrcTr
Robert M Rice
Commission No L 4" �e mission GG 072776-�)
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AY P
�% �, =off ae4 Notary Public State of Florida
ommission No. JSe4)ert M Rice
of c10 xwes 04/03/2021
- ,�, c My Commission GG 07277
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OF t� Expires 04/03/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/16/20