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All APPLICABLE INFO MU T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: La�S' Permit Number:_ o,o l p - 0 I O
Ssiro[LUME
Building Permit Application I
Planning and Development.Services
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:SIGNAGE
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Address: 7330 S FEDERAL HWY, PORT ST LUCIE, FL 34952
PropertyTax ID#3: 3422-134-0002-000-1 Lot No.
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Site Plan Name: Block No.
Project Name:
SOUTH EAST POOLS&SPAS
INSTALL. NON ILLUMINATED ROAD SIGN Y
New Electrical Meter Second Electrical Meter
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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: Sq.Ft.of First Floor:
Cost of Construction:$ 1,000.00 Utilities: _Sewer _Septic Building Height:
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Name GILES 7320 LLC Name:STEPHE:N M KEMP
Address:2838 OKEECHOBEE BLVD Company:KEMP SIGNS & SERVICE INC
City; WEST PALM BEACH State; FL Address:1740 HILL AVENUE
Zip Code: 33409 Fax: City:WEST PALM BEACH State:FL
Phone No. Zip Code: 33407 - Fax: 561-840-6382 J1W
E-Mail: Phone No 561-840-6382
Fill in fee simple Title Hoider on next page(if different E-Mail PERM ITTING@KEMPSIGNS.NET
from the Owner listed above) State or County License ES0000229
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.
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SUPPLEM�NTfAL�CON5 'RUCTfON��IrN LAW IN�:ORMATION �` � �M � � � �� '`�< ''
DESIGNER/ENGINEER: �A Not Applicable MORTGAGE COMPANY: Not Applicable'
Name: Narne:
Address:`, Address: ;
State: City: State:
Phone [
Zip: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _N;ot.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 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- i
structure.Please consult with your HomeOwners Association and review your:deed for any restrictions which may apply... E
In consideration of the granting of this requested:permit,I do hereby agree that will,in all respects;perform thework
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,swimmin ools,fences,Walls,:Signs,screen rooms and accessory uses-to another non-r6idendal use.
WARNINGTO OWNER: o r failure to Record a Notice of Commencement may result in paying twice.for
improveriments 6 :"property:A Notice of Commencement must be recorded in the public records of St.
Lucie Count d 0 t the obsite before the first inspectionl"If intend to obtain financing,to
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With lend' o a or.e� before commencingwo"rk'or recordingNotice of Commencement. I
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Signature essee/C,ntrac or as.Agent for Owner: Sign" r ontractor/License Holder
STATE'O F R STATE OF FLO.RIDA.
COUNTY. O CttL?'I COUNTY OF PALM BEACH
Swor o(or rrned)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
M-clay
sical:Pre ence or. Online Notarization �Pli sical Pr s"nceor Online Notarization
"of i : tia- 2620 by this._ ay ofNOVeM 2020 by
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1 1'C . STEPHEN Ni KEMP I
Name of person makink statement. Name of person making statement.
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Personally.Known k,""OR Produced Identification Personally Known XX OR Produced identification
Type of identification Type of{dentilli' n
Produced Produced {
(Signature " t ` ublt errd (Signature of Notary Pu.
+emsC413:STIN.MR4GERS te3YPv'' MARIACOAMIaNI
Gos+. + Jsz�2t8S' _° `t+•�`F Notar
Commission No. �,�;t e l)4r > s Commission No. ^� Y�9�ifl)state Of Florida
+`•ar;t• t\n3UitrurN f 4,saa: }x55!dMA o-: COM ISSion N GG 985044, i
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a,00a otary Assn:
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TU T E W
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE,
RECEIVED
DATE
COMPLETED