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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'c ALL APPLICABLE /INFO ` /MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: BY St. Lucie Countv RECEIVED Building Permit Application 'APR 14 2015 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Sign III Address: 7700 Pine Lakes Blvd Legal Description: PINE SUMMIT (PB 40-13) TRACT D (31.76 AC) (OR 3675-2766) Property Tax ID #: 3422-596-0007-000-6 Lot No. Site Plan Name: Block No. Project Name: APEX MONUMENT SIGN Setbacks Front 18" Back: 18" Right Side: 18" Left Side: 18" DETAILED DE8CRIPTION OF WORK:"a III Remove existing monument and replace with new. CONSTRUCTION INFORMATION: AaamonalworKtOop-nerrormed under ❑HVAC Gas Tank tispermit—check ❑Gas Piping all apply: Shutters ❑ Windows/Doors ❑ Electric 0 Plumbing []Sprinklers _ ❑ Generator ❑ Roof Total Sq. Ft of Construction: So. Ft.of First Floor: Cost of Construction:$ JQi000 Utilities: MSewer ❑Septic Building Height: OWNER/,LESSEE: CONTRACTOR: Name PL Borrower LLC Name: Cecil Ward Address:880 Glenwood Ave. SE Ste H Company: Don Bell Signs, LLC City: Atlanta State: GA Zip Code: 30316-0000 Fax: Phone No. Address: 365 Oak Place City: Port Orange State: FL Zip Code: 32127 Fax: 386-763-4762 Phone No. 386-788-8084 E-Mail: markm@catalystdp.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: ienwail@donbellsigns.com State or County License: ES0000146 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. IN SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION'; III DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: v Not Applicable Name:Name: Address:4o.7Z,r ]n� 6Address: City::1?t=" acc.�ns_ 11 ►n Stater_ City: State: _ Zip:-32 Phone: IVCR. :1 .^ht•A Zip: Phone: FEE SIMPLE TITLE HOLDER: ,, Not Name: Address: City: Zip: _ BONDING COMPANY: ✓Not Applicable Name: Address: City: Zip: Phone: 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, consy{t with lender or an attorney before _ Signatu a of Owne Lessee/Agen Signature of Contras r/License Holder GcrJr91 a, STATE OFF�A�1f66� � STATE OF FLORIDA COUNTY OF (O COUNTY OFS /A The for ing instrument was acknowledged before me The forg ing instru t was acknowledge fore me thisP�ay of MQrnl-h 20 16—by this day of 20� by Mark 1 Mechlowlfz `T aka (Name of person acknowledging) (N e'of person acknowledging ) � -�11� (Si�ture of Notary Public- State of Flerida ) C-tEorgj eu (Sgn,/ature of Not&y Public- S of Florida ) Personally Known OR Pr `,j`4VIItki9j�fF� tion Personally Known OR Produced Identification Type of Identification Produced .� �f)NA. �i� Type of Identification Produced Commission No. �_ U Revised07/15/2014 %0 t ;VV &8L1G U FRANK J. BOANNO EXPIRES: August 10, 201B Bonded Tluu Notary Public U denrdtem 1221 REVIEWS FRONT r�E1�ERVISOR �11ti PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE Ib COMPLETE INITIALS May 12 2015 1:18PM Don Signs, LLC 386-71F^ '762 p.2 DESIGNS ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name- Name: Address: Address: City: State: City: State:' Zip: Phone Zip:, Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: city: city: Zip: Phone: Zip: .Phone: V W IV CN/. bury 1 HAi6k YK AFrwvJ I : Application is hereby made to obtain a permitto do the work and installation as indicated. 1 certli'y that no work oi,lnstailatlon hat mmmenrpd priorito the issuance of a permit,":'' St. Lucie County makes no representatlon 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 consultunth 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, oonsu►t with lender or an attorney before commencirbOwork or recording vour Notice of Commencement. 4- __T_ / Signature of Owner/ 1.6asee` gent Signatirfe of Contractor/Lly a Holder STATE OF FLORIDA %9 STATE OF FLORIDA COUNTY OF pflr,.f COUNTY OF H The fo Inginstrum twasacknowledged fore me The for omginstru twasacknowledgedibeforeme this day of: 20 by this' dayol" 2:01 by - �' �� YtYw-4.J .�� i�il�k�ia t /`."r'N �►'L.� h.� (Nampersan acknowledging) Yl" ]CRC iy �r JI (Name of person acknowledging) ��i�Q/��� � !/�✓��� �A' -I (Signature of Notary Pub c- ate of Florida (Signature of Notary Public- ate of Florida ) Personally Known OR Produced ldentlflptlon: Personally, Known OR Producedldentificatlon Type 41dentifiration Type of Identification Produced 01 Produced FRANKA :A WC01M&SICNNOFF V270 %� ir FRW.),BQitlNO CommRm oh No. 10 (' oMiFR.t Commission NF s3 (611f9AV AugM10.Zota -B e,wmnmxmy.weacua s:August7R2ot0 amm9d7bw1Y ��tmu a � .. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.