HomeMy WebLinkAboutBuilding Permit Application i
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (�" ��J�'..Z� Permit Number:
O r,
Building Permit Application
! Planning and Development Services
j Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
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PERMIT APPLICATION FOR:
S[GNAGE
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Address: 7330 S FEDERAL HWY, PORT ST LUCIE, FL 34952
p y 3422-134-0002-000-1
Pro ert Tax I D#: Lot No.
Site Plan Name: Block No.
Project Name:
SOUTH EAST POOLS&SPAS
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INSTALL ILLUMINATED WALL SIGN
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New Electrical Meter Second Electrical Meter
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Additional work to be performed under this permit—check all that apply:
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_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Pond
_Electric Plumbing _Sprinklers _Generator. Roof Pitch
Total Sq.Ft of Construction: Sq.Ft. of First Floor: j
Cost of Construction:$ 2,500.00 Utilities: Sewer _Septic Building Height:
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Name GILES 7320 LLC Name:STEPHEN M KEMP
2838 OKEECHOBEE BLVD KEMP SIGNS'& SERVICE INC
Address: Company: I
City: WEST PALM BEACH State: FL Address:1740 HILL AVENUE
I Zip Code: 33409 Fax: City: WEST PALM BEACH State:FL
I Fax:Phone No. Zip Code: 33407 561-840-6382
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E-Mail: Phone No 561-840-6382
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Fill In fee simple Title Holder on next page(if different E-Mail PERMITTING@KEMPSIGNS.NET
from the Owner listed above) State or County License ES0000229
I. If value of construction Is 2500 or more,a RECORDED Notice of Commencement is required.
E If value of HAVC 1s$7,500 or more,a RECORDED Notice of Commencement Is required.
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SUP;PLEMI~ 13ALtC0 S7ItUC?IONLIEN LA'W INFORMATION if
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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 SIMRI E,TITLE HOLDER: —No-t.Applicable BONDING COMPANY: 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
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 permitwill 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 considerat!on 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"exemptfrom undergoing a full concurrency"review:room additions,
accessory,structures imming p syfences walls;signs,screen rooms and accessory uses to another non-resldentiai use.
WARNING OWNER- ' rf_ilure,to Record a Notice of Commencement may result in paying twice for
imp,
".enlents to t .A Notice,of Commencement must be recorded in-the public records of St.
Luci County ost 'on the site before the first inspection. I u intend to obtain.financing, consult
wit lend r att ne lef"ore commencin work.or recordiri o r Notice.of Commencement.
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Signature_of 0 Zentractor as Agent for Owner Signat a ntractor/license HolderSTATE OF O "Dt STATE OF FLORIDA"
COUNTY OF llf 1t Gf�. COUNTY OF PALM BEACH
Swort to(or affirmed)and subscribed before me of Sworn to(or affirmed),and subsctibed before me of
cam"P sical-Presence or Online Notarization 1___1Ph sical Pre ence or Online Notarization
this tday of Vt tnl fie6% ..2020 by this day of 3 2020 by
STEPHtN M KENIP
Name of person making.statement: Name of person making statement. I
Personally Known `-'� OR Produced Identification Personally Known XX OR Pc ced identification
Type of Identification Type-of Identification
Produc a, Produced
(Signa r4 bf Pof ublic-State of r FYti�.-CH ROGER (Sig ture of Notary Public t if �grlda) MARIA C DAM 111
;; y Commis an R GG 31216 3;�� �. Notary Public State of Flor( a
Commission No: f a (Sfelisslan t GG 98504 i
Er.,i:_sk��gust25,2023 .Cor fission No. q ' o
6xdd4ruTmTFzeh yx ?11SN!^ off N MMyComm.,EzpiresJul 19.20 Z4
Bonded through Nationa[NotarV As n
REVIEWS FRONT ZONING SUPERVISOR PLANS_ VEGETATION. SEATURTLE MANGROVE
COUNTER REVIEW- REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED" i
DATE.
COMPLETED
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