HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: q. Permit Number:
RECEIVED
• = SEP 2 3 2020
Building Permit Application
Planningand Development Services Permitting Department
P St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE: SIGN (NON-ELECTRIC)
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Address. 108515 OCEAN DR, JEN5EN BEACH, FL 34957
Property Tax ID#: 4511-509-0002-000-8 Lot No.
Site Plan Name: WINDMILL VILLAGE Block No.
Project Name: WINDMILL VILLAGE
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37.5 x 121" PAINTED NAME ON BUILDING WALL
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Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 31.5 Sq. Ft. of First Floor:
Cost of Construction: $1,200 Utilities: —Sewer _Septic Building Height: 16 FT
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Name i/Ulyibhl11 Vi[W z,bOuSelA Gvi4 ( I' s5oz- Name: ALAN MARCU5
Address: (10851 S OGe4h `L I)h*lt Lof L&I Company: 5IGN IT! INC.
City: J-ftsevi ,64, ��"�'�' n' �4 State: FL- Address: 639 NW BAKER RP
Zip Code:3 44 0- 2(073 Fax: City: STUART State: FL
Phone No. '772.- ZZq-305a 5Anc ., flef6mgQ Zip Code: 34994 Fax:
E-Mail: Phone No 772-692-2866
Fill in fee simple Title Holder on next page( if different E-Mail MAD51GNT15T@51GNITINC.COM
from the Owner listed above) State or County License 4859
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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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YJ=LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NPTKE OF COMMENCEMENT."
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Signature of Owner/Lessee/Contractor a g t for Owner Signature of Contractor/License Holder
STATE OF FLORIDA / STATE OF FLORID
COUNTY OF MCi�'t�y! �c COUNTY OF _If4
The forgoing instrument as acknowledged before me The forgoing instrument was acknowledged before me
this day P� �of e 5Q� 20�,Oby this day of, O�2mb�✓ ,20��by
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Name of person making statement. v Name of person making statement. l
Personally Known OR Produced Identification Personally Known OR Produced IdentificationX
Type of Identification Type of identifilaation
Produced Produced -tc p
Cgna�t o ary Public- (S. otary Public-S
:'c►RY-"�a•; JONATHAN ESPINOSA 1>pY P�" JONATHAN ESPINOSA
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on No. � Nd� l�blic•State of Florida Commission No. 1, N¢ blic-State of Florida
Commission p GG 267068 � ••° Commission#GG 267068
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My Comm.Expires Oct 15,2022 My Comm.Expires Oct 15,2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19