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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLt- ED FOR APPLICATION TO BE ACCEPTED'-- nn ,%y Date: Permit Number: ©5 V °j�`-'� O Building Permit Application Planning and Development Services 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: SIGN PROPOSED IMPROVEMENT LOCATION: Address: 6704 SOUTH ;US 1 I Port Saint Lucie, FL 34952 Property Tax ID #: 3415-501-0065-040-6 Site Plan Name: Project Name: CARE NET DETAILED DESCRIPTION OF WORK: INSTALL 1 ILLUMINATED WALL SIGN. CONNECT TO EXISTING ELECTRICAL SUPPLY New Electrical Meter Second Electrical Meter 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 _ Pond Electric _ Plumbing —Sprinklers _ Generator Roof - • Pitch Total Sq. Ft of Construction: 12.75 Cost of Construction: $ 3,650.00 Sq. Ft. of First Floor: Utilities: _Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name CARE NET .. - Name:ROBERT GRALAK Address: 6704 S PS1 11 ,FLAMINGQ .SIGNS,, Company: City:-PORT�ST LUCIE State: _ '�Address:4444 SE'-Cgri merce..i4ve. Zip Code: 34952 :fax: City; Stuart State:fl Phone No. (772) 828-3168 Zip Code: 34997 Fax: E-Mail: Debi@carenettc.com . Phone No772.220.7377 Fill in fee simple Title Holder on next page ( if different E-Mailflamingosigns@g!nqil.com from the Owner listed above) State or County License ES12001146 It value of construction is 25UO 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. -SUPPLEMENTAL,CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: JAMESPAiT Name: Address:1963 SE PALM CITY RD Address: City: STUART State: FL City: State: Zip: 34954 Phone72.263.2677 . Zip:, Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Crisis Pregnancy Center of the Treasure Coast lnc Name: Add Tess: 67oa s USl Address: City: PORT ST LUCE FL City: Zip: Phone: Zip:34952 Phone:626s166 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 WARN INC_IO-OWNER• r failure to Record a Notice of Comme ent may suit in paying twice for provements to your pro y. A Notice Of Commenc ent must be recor a the public records of St. Lucie County and posted on th bsite before the firs inspection..lf you intend to tain,financing; consult with lender or an attorney before ommencing work o ecording_ our Notice of Com eneement. of Wrier/ Lessee/Contractor-WAgent for Owner STATE OF FCORtll"k— COUNTY OF M 4) Sworn to (or affirmed) and subscribed before me of ✓Ph sical Presence or Online Notarization this 1-S day of " k-y , 2020 by STATE OF FLORIDA COUNTY OF IV 41 Swo✓n.to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this L�_day of Alk I/ , 204 by Name of person making statement. I Name of person making statement. Personally Known OR Produced Identification Type of IdenAification Produced p4 1 Fh s L' e (Signature of Notary Publ'- it # tr Commission No. Y REVIEWS 940 FRONT COUNTER DATE RECEIVED DATE COMPLETED Personally Known OR Produced Identification 1/ Type of Identificatiqq�� Produced L��/lam 4 44 (Signature of Notary Publ' v " Notary Public Stete of.Florida , NotaryPublic State of Florida R*_ rb i e Commission No. H �l` :y Myt on HH 103595 Ex Commission 25 103595 +J� Expires 0g10312025 Expires 04/03/2025 �iq �� ZONING SUPERVISOR PLANS VEGETATION SEATFURTLE MANGROVE REVIEW REVIEW / REVIEW REVIEW REVIEW REVIEW ev.