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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONR ALL APPLICABLE INFO MUST BE COMPLET D FOR APPLICATION TO BE ACCEPTED tit �63 Date:5/28/2015 %-d-IS Permit Number: 1Q SCANNED Building Permit Application BY Planning and Development Services St. Lucie County Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xx Residential PERMIT APPLICATION FOR: Sign PROPOSED IMPROVEMENT LOCATION: Address: 8490 COMMERCE CENTRE DR Legal Description: VILLAGE PHASE 1 (PB 39-22) LOT B (1.344 AC) (OR 1418-1820) Property Tax ID #: 3327-803-0003-000-9 Site Plan Name: Project Name: CHEVRON Setbacks Front Back: Right Side DETAILED DESCRIPTION OF WORK: INSTALL "CHEVRON' LETTERS ON CANOPY Left Side: Lot No. Block No. ONN 0? 2� 415 C CONSTRUCTION INFORMATION: Additional worK to orme under tispermit—c ec ❑HVAC 0 Gas Tank ❑Gas Piping a apply:' ❑ Windows/Doors _Shutters R] Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof Total Sq. Ft of Construction: 15.3 S Ft. of First Floor: Cost of Construction: $ 500.00 UtilitiestSewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name NF HOLDINGS INC Name: STEPHEN M KEMP Address:1852 SW SAN SOUCI ST Company: KEMP SIGNS INC City: STUART State: FL Zip Code: 34994 Fax: Phone No. Address: 1740 HILL AVE City: WEST PALM BEACH State: FL Zip Code: 33407 Fax: 561-840-6385 Phone No. 561-840-6382 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: HEATHER@KEMPSIGNS.NET State or County License: ES0000229 If value of construction is $2500 or more, a RECORDED` Notice of CommenEement is required. 11 DESIG Not App Name: ALBERTAGARGIULO Address: 119 SORIANO DR City: JUPITER State: FL Zip: 33458 Phone: 561-686-5554 FEE SIMPLE TITLE HOLDER: xx Not Applicable Name: _ Address: City: Zip: Phone: MORTGAGE COMPANY: xx Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: _ Address: Zip: Phone: 1 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, consultth lender or an attorney before _ Signat4e of Owner/ Lessee/Agent slgnai Or WnueLw1/uM=1Jb= RUIU=l STATE OF FLO%r STATE OF FL RI A COUNTY OF K3 �r111 Q71 COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this`n day of NACW — 20 LS,by I this 2_7 day of M014 , 20 1� by (Name of person acknowledging) (Name of acknowledging)/J �/�lP A C) (Signature of Notary Public -State of FI id ) (Signature of Notary Public- State of Florida Personally Known " OR Produced Identification Personally Known 0<X OR Produced Identification Type of Identification Produced EgTNER-CO of Identification Produced � HEATHER C� ��,�n.� _ ) NOTARY mission No. � NOTARYPUE Commission No. Z STATEOFFLO I STATE OF FL Comm# FFt XPves 4I ELC' Expires 1/25 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REV EW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS yp Q rjr