HomeMy WebLinkAboutBuilding Permit Application... -- - .
All APPLICABLE INFO MUST BE. COMPLETED FOR APPLICATION.TO BE ACCEPTED : - ..
. .... . .
Date3 Permit Numb&.-D% � 5a
RECEIVED
Buildiagg Permit Appficatio;n
MAR 2k9 1021:::
Planning:and Development Services::Permitting p
oartment
Building:dnd Code Regulation Division St, Lucie County
2300 Virginia Avenue,Tort Pierce:FL 34982
:::. Phone: (772) 4624553 Fax:'(772) 462=1578 Commercial X ReSICIentI�:I:. ......
PERMITTYPE: WaLI:Sign .::
PROPOSEDS�INPROVE�MENT�LOCATION'--Building
Addres's:. 3190 Airmans Drive
:Property Tax ID #, 1430-131-0001:-000-4 Lot No;
Site Plan Name:..: Block No: :..
Project Name:Plus One Air.
DETAILEDDESCRIPTION OF WORK:
-Installation.of led illuminated channel letters 1.44 Sq. Ft.. (Connect to.Existing Electric)
C.QNSTRUC,TION JN:FORMATION" w;. ::. • ..
Add itionaiwork to_be performed: under this permit-; check al.l.that apply:
Mechanical — Gas Tank — Gas -Piping Shutters .. . . . _ Windows/Doors
Electric - Plumbing _ Sprinklers — Generator _Roof Pitch
..
.. . .
Total Sq. Ft of. Construction: ... Sq. Ft: of First Floor:- .
...... ...... -- -- - ... ......
Cost of Construction::$ Utilities: _:_Sewer :_Septic:: Building Height:::
OWNER)/µµ.LESS.EE ,L'essee `
VMS- � r�."*'TMa'3 ""i r4"AY£ +,£,4 4'v, x+; `.a4 ?"dh", "�'^#''4,.$,
'.'?. ""n NT,RACTOR:
Name Plus One Air ..
James Hart .
Name:: : .. : ..
Address: 3190 Airmans Drive
City! Ft. Pierce: :..:: .... State: _:
...... ......
Zip Code:: 34946 Fax:
Phone -No.
Company: Glomaster Sign Co.,. Inc.
Address: 4141 Bandy Blvd.::.::
. . .
City: Ft. Pierce :,.. :State: FL
Zip Code: 34981 Fax;.772-464-2157
...
: Phone No 772=464-07.18::
_. ...... ...... _ _- ...
E-Mail signs30@bellsouth.net
State or -County. License ET0000157
...
E-Mail: �:
......
Fill in fee simple Title Holder on: next page.( if different :..:
from the Owner listed: above)
If value. of construction is,$2500 or more' 'a, RECORDED. Notice of Commencement is required..
,:If value:of HVAC is 0 500 or more.:a RECORDED Notice of:Commencement is required.
L
SUPPLEMENTAL CONSTRUCTION LIEN
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencingwork or recordingour Notice of Commencement.
')rrL'� NT-n�
LAW INFORMATION:
DESIGNER/ENGINEER:
Name: i�.nfl5ilafl Langley
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 1200 N Federal Hwy#200
Address:
City: Boca Raton
Zip: 33432 Phone 888-371-3113
State: F�
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
City:
Address:
city:
Zip: Phone:
Zip: Phone:
Signature of. ner/ Lessee/ ontractor as Agent for Owner
Signature of ontractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF sr. Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this zacn day of March , 20_ by
this 24 day of March , 20_ by
Nam f person making statement.
10
Name of per n making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sign ure o � ...... ic- Sta1lffJ0 lotAddB)
(Signature of , f�4ihjic- State Rk;1VAa
=,. •,,; MY COMMISSION I! GG 828998
MY COMMISSION # GG 928998
Commission 'o" 'a`•` EXPIRES: Januarl(8fi4924
Commission '}: �:;`.•� EXPIRES. JanuarX &%2QP4
'••.Pgot.•' Bonded Thti Notary Public UndenNr(ters
m NotaryPubAC Undenvdtera
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED