HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q. I () Permit Number.
g�v L UCIE
V `' .�,-° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)4.62-1553 Fax:(7721462-1578
PERMIT APPLICATION FOR:face Change monument sign
PROPOSED IMPROVEMENT LOCATION,
Address: 7700 Fine Lake Blvd. Port St.Lucie, FL 34952
Property Tax ID#: 3422-596-0007-000-6 Lot No.
Site Plan Name: Block No.
Project dame: fine Lakes Reserve Monument Sign
DI�TaILED DESCRIPTION OF WORK:
face change on existing monument sign for Pine Lake Reserve
New Electrical Meter N/A Second Electrical Meter NIA
CONSTRUCTION INFORMATION:
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: 7,-1 , l"€ S F 5q.Ft.of First Floor:
Cost of Construction:$,7I d6[i Utilities: Sewer _Septic Building Height:
OWNER/L'ESSEE CONTRACTOR:
Name Pine Lakes Reserve Name:Antonio Disalvatore
Address:7700 Pine Lakes BLVD Company:Creative Signs INC
City. Port St.Lucie State:_ Address:2301 N Hiawrassee Fed
Zip Code: 34952 Fax: City: Apopka State:FL
Phone No.N/A Zip Code_ 32703 Fax: NIA
E-Mail:NIA Phone No 407-293-9393 x 111
Fill in fee simple Title Holder on next page(if different E-Mail permitting@creativesignsinc.com
from the Owner listed above) State or County License ES12001164
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
if value of HAVC Is$7,50n or more,a RECORDED Notice of Commencement is required_
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SLIPPk.EMNTAl4 CQNSTRUCTJ0N LIEN LAW INF0RMATION.
DESIGNS ENGINEER: '�Nat Ile}pllc_@e ML3RTGAGE COMPANY: x Not Applicable
Name; Nance:
ftdc�reSs: - a,. Address: -
City._ _State: City. State•
Zip, Phone Zlp: Phone:
fiEE S€MPLETITLEHOLDER. _„_,Not Appllcablea BONDING COMPANY: _!-Not Applicable
Niiit:e:nR„�,'*W., Name:
Address:1,1," + 'hv"r...'A.tNE�s�+ :: Address:
City:At*Ntx.ua City:
Zip: 9a�rf Phone:µA .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 installations has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that Is granting a permit will authorize tha ermlt holder to build the subject structure
,vhich is in conf�ict with any applicable Home Owners Association rules,bylaws gr an covenants that may restrict or prohibit such
structure.Please consult wit your Home Owners Association.and review your deed€or any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that 1 wlil,in all respects,perform the work
In:iccardance with the approved plans,the Florida Building Codes and St.Lucle County Amendments.
followingThe building permit applicatlons are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pacts,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your fallure to Record a Notice of Commencement may r£suft In paying twice for
Improvements to your property. A Notice of Corn mencern ent must be recorded In the public records of St.
Ludle County and posted on the jobslte before the first Inspection.If you Intend to obtain financing,consult
with lender or an attorneybefore comma ncing work or recordin our Notice of Commencement.
FTAE
wner/Lessee/Contra or as Agent for owner Sig a of Contractor/License Molder
FLORIDA STATE OF FLORIDA
iIi COUNTY OF 0 raif 6
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ffirmed)and subscribed b€fore me of Swan to(or affirmed)and subscribed before me of
resenC or Online Notarization P�ysdaal Presence or Online No arization
f ,2020 by this� y of A 10 07,F 20 y
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Name of person making statement. Name of person making statement.
Personally Known OR rsonaIly Kn wn OR Produced identification
Type of Identification ,r*r RE551E Gft055 pe o i entlficatian
Produced s,�t �'ar� Notary PvhIIC•State of Flnrl educed
MY Comm,Expires Jul 2 24 4
6ondad throu&h National Not4ry a n.
I Sig nature of Not ry Public-Sta a ! Signature of Notary P bile- tate f NO'Mry, unlic tM or� da
Ereaka Ckmeiand
Commission No. (Seal) Commission No. vra .ages osro2C= e 7 9
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.516/20
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