HomeMy WebLinkAboutBUILDING PERMIT APP REBEL 6485 PSL_1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-27-2022 Permit Number: SLC2110-0883
L UT LL
.... .. . Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial V Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone,* (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: SIGN PERMIT WALL W/ ELECTRIC
PROPOSED IMPROVEMENT LOCATION:
Address: 6601 S US 1 PSL FL
Property Tax ID #: - 3415-501-0037-010-2 ACCOUNT #144229 Lot No. 01
Site Plan Name: REBEL 6485 PSL Block No. 3
Project Name: REBEL 6485 PSL CHANGE OF CONTRACTOR
DETAILED DESCRIPTION OF WORK:
CHANGE OF CONTRACTOR
..-INSTALL IILLUMINATE.D WALL SIGN ON EAS -ELEVAIION & CONNECT TO
EXISTING ELECTRIC FOR REBEL
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical Gas Tank Gas Piping Shutters
V Electric Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ --- 2_500.00
OWNERAESSEE:
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
— Roof Pitch
Utilities: Sewer Septic Building Height:
Name ANABI REAL ESTATE DEVELOPMENT LLC
Address: 1450 N BENSON AVE UNIT A
City: UPLAND State: CA
Zip Code: 91786 Fax. NA
Phone No. E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: JAMES MICHAEL NOLE
Company: _5. T LUCIE -SIGNS LL—C
Address: 1147 HERNANDO ST APT A
City: FORT PIERCE State: FL
Zip Code: 34949 Fax: NA
Phone No 772-971-1748
E-Mail SALES. STLU(.'#IE@GMAIL.COM
State or County License ES12001557
11 VdMeut wns'Erucuon is z.,,.,Puu or more.. a KtWKVLU 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:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: V 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work nr rpmMinia vni ir KIntirin of rnmmpnr-nmpr%+
Signat of Contractor - or - Owner Builder as applicable
Ana, "MIL, AIL,
k_ ;IJADE LEE KREST
v,
Notary Public - State of Florija
"CZ
Commission # GG 2618S4
F, My Comm. Expires Sep 25, 2022
STATE OF FLORIDA
Bonded through National Notary Am
COUNTY OF SAINT LUCIE
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 27 day of —JANUARY 2022 by
JAMES MICHAEL HOLE
Name of person making statement.
Personally Known NZ OR Produced Identification
Type of Identification Produced
(Si4ature of Notary Public- State of Florida)
Commission No. GC 261884 (Seal)
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