HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number: ���•
�` bCUIC��L 4ECEIVED
° APR ®5 2021
Building' Permit Application Per[RiNiflgDepatment
Planning and Development Services St, Ludo. Courrty.
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: WALL SIGN
PROPOSED ,IMPROVEMENT LOCATION:'
Address: 1000 SAVANNA CLUB B.LVD,PORT ST LUCIE FL 34952
Property Tax. ID #: 3426.700.0002.000.0 Lot No.
Site Plan Name: Block No.
Project Name: AMERICAN LEGION POST 318
DETAILED DESCRIPTION OF WORK:
INSTALCWALLSION'ON, SOUTH WALL
New Electrical Meter Second Electrical Meter
CONSTRUCTIONINFORMATION:
Additional work to be performed under this permit = check all that apply:
\ ,
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plu.mbing;
Total Sq. Ft of Construction: 26.8
Cost of Construction: $ 4,300.00
—Sprinklers —Generator
_ Windows/Doors _ Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE':
NameAMERICAN LEGION :POST.318
Name:ROBERT GRALAK..,,
Address:1.000'SAVANNA CLUB BLVS
Company: FLAMINGO.SIGNS,
City: PORT ST'LUCIE ' State: _
Address: SE COMMERCE AVE
Zip Code: 34952 Fax:
City:..STUART "�. State: FL
Phone No.203.444.5222 ::.
Zip'Code: 34997 Fax: 772.220.7768
E-Mail:FLROMAN029@HOTMAIL.COM
Phone No772:220J377
Fill in fee simple Title Holder on next page (if different
E-Mail FLAMINGOSIGNS@GMAIL.COM
from the Owner listed above)
State or County License ES12001146
t
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.
SU'PPLEMENTAL,C,ONSTRUCTION LIEN: LAW INFORM4TIO.N: =
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
N a m e: JAMES PAIT
Name:
Address:1963 SW PALM CITY RD
Address:
City: STUART State: FL
City: State:
Zip: 34994 Phone263,2677
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 paying twice for ,
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Luci e_County-arrd-po n the jobsite before the first i n. d to obtain financing, consult
lender or.an attorney a commencing wor r.recording your Notice o . mmencement.
Sig a of Owner 'Lesse ontr as Agent for Owner
Sign re of n rac /License old
STATE OF FLORIDA
STATE OF FL
COUNTY OF
COUNTY OF �� /' T
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
L-Ph sical Presence or Online Notarization
, physical Presence or Online Notarization
this S day of ,(�/�/0 .2020 by
this S' day of ,b Pit I , 202j' by
Name of person making statement.
Name of person making statement.
Personally Known I/ OR Produced Identification
Personally Known - V OR Produced Identification
Type of identification
L c t�Si
Type of Identification
Produced ye/t
Produced l�At vrds
,�AI
fly'L
ignature of Notary Public- a Iorilr� PubllcState of Florida
(Signature of Notary Public-
Notary Public State of Florida
Commission No. Her ,3 ( M Rice
Robert M Rice
'My, o salon HH 103595
mmission No l / �� Ex/0312025
mmission HH 103595
tti
Expires04/0312025
REVIEWS
'FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION_
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20