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ALL APPLICABLE INFO MUST BE COMPL' I FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION: —
Address:
Legal Description:
Commercial v**' Residential
Property Tax ID #: A,1111 I/- Lot No.
Site Plan Name: Block No.
Project Name: 6.a4&
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
# //ZJM.S
CTON RUCTION INFORMATION:
nal worKtobeDertormed under this permit- check all apply:
1]HVAC E] Gas Tank E]Gas Piping M Shutters E]Winclows/Doors
aElectric 0 Plumbing 05prinklers DGenerator D Roof
Total Sq. Ft of Construction:
Cost of Construction:$ 6610
S Ft of First Floor:
Litilitles'n Sewer [leptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 23�59&*" U&
Name: T�xcljd'�:_
—#e,/;a— -70—
Address: 190& 51 Fo-d*2kb4l
CompanyZD;x,;_o W_gozi
;�gqr2s k
&_ State:,C'
City: ="*A00 " 2.
Zip Code: _A� 4 0 at Fax:
Phone No.
Address:-SOOY
ea_,7aAz_ ' ;St
City: �/�ha' State:-z-7/-
Zip Code: Sher 2.9 Fax:1913- 39'& -.24
Phone No. 1?13- 3VIo- // 39
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: e.�edcf;p_
05 . C�0 Al
State or'County License:
,h
r14;r_ka�
if vaiue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
DESIGNERIENGINEER: 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: *�-Not Applicable
Name:
Address:
City:
Name:
Address:
Zip: Phone: I 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, consult with lender or an attorney before
commencinR work or recordina vour Notice of Commencement.
— Signature of Owndr/ Lessee/Agent
Signature
STATE OF FL�MV/ STATE OF FLOR
dot,
COUNTY OF COUNTY OF
The forgoing 'instrurqent was acknowledged before me The forgoing instrument was acknowledged before me
this4g§- day of 20/
dby this .25— day o 20 /6— by
of person acknowledging
(Name of person acknowledging)
ZA!k A-X_� 1 IV4��
(Signature of Notary Public- State of Florida I (Signature of Notary Public- State of Florida
Personally Known
Type of Identification Pi
Commission No.
Revised 07/15/2014
OR Produced Identification Personally Known --'OR Produced Identification
ice4AA_Aey~^f��. Type of Identification Procluc%*!200A&nma^��,.
SQ1011 I EE'
� 19
3�1 Commission No.
2'0'116"
Myc 10NOEE161433
=1 "1 19.2016
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTUE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
.4
AWL je� '.' A1IlI111�
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: _1'5C)6- OLJ�
BY
NcwAa St. Lude County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
V
(>
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Ile"" Residential
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: _79471 �5. /)S TZ7
Legal Description:
PropertyTaxID#: ggellfl- i5v/- IVey- ss'6- 4,
Lot No.
Site Plan Name:
Project Name: 6"a'g& Inz
Block No.
Setbacks Front— Back:_ Right Side: Left
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additionalwomtobenertormed under this permit - checK all apply:
11HVAC 0 Gas Tank DGas Piping Shutters
RElectric 1:1 Plumbing []Sprinklers Generator
Total Sq. Ft of Construction: y 13-465C_ SC Ft of First Floor:
Cost of Construction:$ Utilities'. nSevver DSe—
ptic
E]Windows/Doors E
Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR-.
Er
Name
Name:
5m-
Address: /Ro4p
Company-%DV-w;-- '71&o4
5i4z7q kk(!,
City: —State:454
Address:-300J
ZipCode: Fax:
C ity: / a�wAa-
State:
Phone No.
Zip Code: 3-4 eg aq
—4c—l-
Fax: V13-'39'16 -.24 7'7
E-Mail:
Phone No. ?IS- 3'9&
- // 3,?
Fill in fee simple Title Holder on next page ( if different
E- M a i 1: A
A IV ab SA& C-0 Al
7A;nL'e"1C1
State or County License:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencementi
E) n 0.1i's -
required.
ncqjo LpLD, Coro
�f' ' . W 1 .1
SUPPLEMENTAL CONSTRUtTION LIEN LAW INFORMATION:
Name:
Addre!
City:
Zip: —
ne:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
P�-Not Applicable
St. Lucie Count makes no r6presentation that is granting a permit will authorize the ermit holder to build the subject structure
which is in co irlict with any applicable Home Owners Association rules, bylaws or ang 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.
Inconsideration 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
— Signature of Owndir/ Lessee/Agent �)ignature or LontraCMr/ License Hower
STATE OF FLO STATE OF FLORWA
COUNTY OF
COUNTY OF
The forgoing iinstrur)qent was acknowledged before me
thisdW day of 20/
?—""— ;r—by
person
The forgoing instrument was acknowledged before me
this .2,Tday o 20 /,V- by
(Name of person acknowledging)
zo(A-W_� I &64-A410�
(Signature of Notary Public- State of Florida (Signature of Notary Public- State of Florida
Personally Known
Type of Identification Pi
Commission No.
Revised 07/15/2014
OR Produced Identification
19.2016
Known ��OR Produced Identification
Type
Commission No.
My��NJ�10N 9 EEM433
'R S
=I=y 19.2016
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
7
COMPLETE
INITIALS
I
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