HomeMy WebLinkAboutSIGNED BUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUP
F 1 n I
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial X Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 8259 S US Highway 1, Port Saint Lucie, FL 34952
Property Tax ID #: 3414501 18093205
Site Plan Name: Body Talk
Project Name: Bo_dy_Talk Building Signage
DETAILED DESCRIPTION OF WORK:
Install (1) Internally Illuminated Buildina Sian
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
_ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: 39 Sq Ft _
Cost of Construction: $ 1 .750
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
11--N-ame 1 Bat 2 LLC
Address: 8259 S US Highway 1
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772-336-2001
E-mail: dougbtsb a-yahao.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Bruce M. Tyrell,_Jr.
Company: Kamrell Windows & Doors
Address: 8200 SW Lost River Road
City: Stuart state: FL
Zip Code: 34997 Fax: 772-288-6208
Phone No 772-288-6205
E-mail suenkamrell.com
State or County License C00061 180
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone_
FEE SIMPLE TITLE HOLDER:
_�L Not Applicable
State
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
X Not Applicable I BONDING COMPANY:
X Not Applicable
State:
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 prohibitsuch
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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of er/ Lessee/Contractor as Agent for Owner Signature of Contractor/ tense HoLifer
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S�. LuC i COUNTY OF r n
The f���,Qing instru ent was acknowledged before me The forgoim ng instruen was acknowledged before me
this L(J�' day of__/,7 202-1 by this day of 2091 by
eorrj e 1bol if Aaiy.�
Name of per51on making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known ✓OR Produced Identification
Type of IdQtlfication Type of Identification
Produced Produced
(Signatu46f Notary Public-S tetary Public Stale
ignature of Notary Public-
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- of Florid
Commission # GG 172118
Commission No
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REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
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DATE
COMPLETED
e v. 2/7/19
SUSAN p1ARIE GODD ARD
Florida
Notary publi �j
Commission # 013052
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REVIEW REVIEW