HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMI 'ED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 1$'Veo —,0 .3 7
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie Courlty
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: V1.1 :5 - US :1 Ft. F1_ .3445P_
Legal Description:
Property Tax ID #: .3 411,� —Sol - /Y01? - See - Lot No.
Site Plan Name: Block No.
Project Name: C-7 4ikoct
U 4-
Setbacks Front Back: _ Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: I
&Azw_,,�c Pit-/ 007.rp�/Z&Zdfi� _P�.
qw��
CONSTRUCTION INFORMATION: I
ACIClitionaiworKtobenertormed under this permit -check all apply: L
E1HW Gas Tank E]Gas Piping Shutters E]Windows/Doors
aElectric Plumbing []Sprinklers Generator, Roof
Total Sq. Ft of Construction: Sc Ft of First Floor:
Cost of Construction:$ Utilities. n Sewer 0 Septic Building Height:
OWNER/LESSEE:
Namel3a.se.�n 42,1L
Name: Y�-e. z e, A 79—
I
Address: /06 W. Fo-4.o2kZLL5_ztk
F
Company: 0;5u�_ yje�n
City: 77icm� State: a
Zip Code: 5 0 2. Fax:
Phone No.
Address: .1004 kff61jg,!2� C�,4-
City: 741-72 b4 State:_a_
Zip Code: .3 3,("o A q Fax: 813 - 3910 -7.&4ft
Phone No. '913 - 3 We- /13 8
E-Mail:—
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: h (D- (! hQ2. e,,!)&n
State or"County License: FlOPIt40-
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU(Tld'�.A EN LAW INFORMATION:
DESIGNER/ENGINEER: —NotApplicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: #-�_Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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
is in
which 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, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
s
Signature of Ownerflessee/Agent
Signature of Contract6firicense Holder
STATE OF FLO��
COUNTY OF e
. Z /
STATE OF FL?;!2�
COUNTY OF
The forgoing instrurqent was acknowledged before me
The forgoing instrument was acknowledged before me
this4g5- day of 20/,Ir by
6V
this IS- day o 20 /6— by
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Notary Public- State of Florida
(Signature of Notary Public- State of Florida
Personally Known OR Produced Identification
Personally Known O13rPrD ced Identification
Type of Identification Produced
tion Prodi
Type of Identifica ion ro uc
. . . . . . .
4"w D* B'N A
Commission No. Kyc AIVEE161433
'-�bSIUR 9 LE161433
S--Y 19.2016
Commission No. ARVE704
EKP0tFS:Jsm=y19,2016
------
1114d��A— C.
Revised 07/15/2014
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ALL AP INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: P90 3GANNED Permit Number: 0.5 71
E3Y
PQ;n �r- LucleC
ourdy
Building Permit Appfication
2V
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 Residential
PIRMIT APPLICATION FOR: Sign
9P
Address: TW :5 - US :1 Ft. 4-)iCre_e_ Fl- -3,05ZL
Legal Description: afrafik_
Property Tax I D #: 5 4/1 iz —.5-40 1 - 190 9 - .3 IT6 - (a Lot No.
Site Plan Name: Block No.
ProjectName: 67&i4,1� (DU -4�-�204
Setbacks Front Back: _ Right Side: Left Side:
ION 05*09k!, -
IT
CONSTRUC-Tip-W- _OKKk Ift"
_!RF
Additional work to b rtormecl under this permit - chec a app
11HVAC Gas Tank Das Piping Shutters E]Windows/Doors
[R'Electric Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction: $ utilitiescn Sewer 0 Septic Building Height:
j
-prqf CITOR�
City: ::�� State: rL
Zip Code: 5 0 2. Fax:
Phone No.
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
N a m e: 0- ee-aa., e,
Col
Address: S4001. ]J/ 6ja,*� !&E
city: 74-0-72 h4a State: AL
Zip Code: 33-C'QA9 Fax: 91:3 - 3&P - c2& 44,
PhoneNo.la- Mp- 1139
E-Mail: F;re ddt�_ egom
State or County License: A A.
If value of construction is $2S0O or more, a RECORDED Notice of Commencement is
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN
Name:
Addre!
City:
Zip: —
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
-� Not Applicable
iRMATION:
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
k-�Not Applicable
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 1711cl: 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, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
- Signature of
STATE OF FL STATE OF FLOR
COUNTY OF COUNTYOF
The forgoing Instrur)jent was acknowledged before me The forgoing instrument was acknowledged before me
this496' day of 20 1,-r by this.25-dayof q- age?"—= 120 1,V by
I
person
(Name of person acknowledging)
(Signature of Notary Public- State of Florida (Signature of Notary Public- State of Florida
Personally Known �� OR Produced Identification
Type of Identification Produced— -
Commission No.
Revised 07/15/2014
WCOMMONOBE161433
EXPfftES:JW=y19'211I6
Personally Kno
i f �vat 0 P. 4juced Identification
ic
Type of Ident c , ion Produc �9'
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
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DATE
7-
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLc'mi FOR APPLICATION TO BE ACCEPTED
Date: -QLQA PermitNumber:
RECEIV2D JUN.19'2015 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 v`� Resiclen%al
PERMIT APPLICATION FOR: Sign _�rlok)YSA H III
nn�nr%ccr% IhAnD�%IERACKIr I nl-A-rinm. III
Address: 79(ol 6. 0S.1 Ft rz&� Fl.. -3,05X I
Legal Description: a_&4AA._
rA
PropertyTaxID#:Jd/-/4(--V.0/- aa- W-4,fr-o
n Lot No.
0
Site Plan Name:
Block No.
CC>
Project Name:
Setbacks Front Back: Right Side: C"'3' Left Side:
DETAILED DESCRIPTION OF WORK'
CONSTRUCTION INFORMATION:
F-0
Additional work to e rformed underpis permit— chec a app
1JHW Ei Gas Tank E]Gas Piping Shutters E]Windows/Doors
aElectric ElPlumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction:$ �2y Utilities'.11 SewerE]Septic Building Height:
OWNER/LESSEE: ---CONTRACTOR'.-
Name ga'seon
Name: cicife-
Address: /806 "X) '77r-a*vVi4 ESP
Company.Z�x/�O_ �Z&04
5'eQ/7.5
City: Taenoo& L State: 1�11
ZipCocle: Fax:
Phone No.-
Address:.300/ &J.
city: a__j,?.1;Pa_, State:_-__�4
Zip Code: 3*&a9 Fax: Q3 - 3k'16 - .24
Phone No. ?13- 3'914 - /139
E-Mail:—
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: eweidj��
&_bSb. 400M
State orrCounty License:
—
I
F-15 wt 40151f
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIO I Nil I EN LAW INFORMATION:
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
V Not Applicable
MORTGAGE COMPANY:
Applicable
Name:
Address:
City: State:
Zip: Phone:
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 ma estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions yhichmayapply.
w
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, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
— Signature of Owner/ Lessee/Age'rit X7- -
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of 20 ___�by
STATE OF*FL0
COUNTYOF
The forgoing instrum nt was acknowledged before me
this_dayo. Yz"44!�, 20 AV by
(Name of person acknowledging) (Name of person acknowledging)
iAe.< A,___
(Signature of Notary Public- State of Florida I (Signature of Notary Public- State of Florida I
Personally Known OR Produced Identification Personally Known e
Type of Identification Produced I Type of Identification
Commission No.
Revised 07/15/2014
(Seal)
Commission No.
OR Produced Identification
VCbMSSION a EE161433
ExpfltES: jonM 19.2016
- REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
..
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS