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
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.