HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: 0. 7• I, SCANNED Permit Number: IS 151a.0113
_k -_StLUCie Counta
RECOVED
Building Permit Application DEC 0 7 2015
Planning and Development Services PERWIITTIFEG
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line M0,40,3%e'3 7
PROPOSED IMPROVEMENT LOCATION: ,
Address: 9700 RESERVE BLVD PORT ST LUCIE FL34986
Legal Description: ATTACHED
Property Tax ID #: 3327.314.0020.000.3 Lot No.
Site Plan Name: Block No.
Project Name: KELLER WILLIAMS
Setbacks Front3' Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF ILLUMINATED MONUMENT SIGN ALONG RESERVE BLVD, SOUTH SIDE
OF PROPERTY. CONNECT TO EXISTING ELECTRICAL SUPPLY PROVIDED BY CUSTOMER
CONSTRUCTION INFORMATION:
Mona wor to e e orme under
1jHVAC 1:1 Gas Tank
tis permit —check
❑Gas Piping
all apply:
Shutters
_
Windows/Doors
ZElectric 0 Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 28
S Ft. of First Floor:
Cost of Construction: $ 14,150.00
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RESERVE REALTY & INVESTMENT CO LLC
Name: ROBERT D. GRALAK
Address: 4455MILITARYTR#102,,
Company: FLAMINGOSIGNS,LLC. '
City;,JUPITER State: FL
Zip Code: 33458 Fax:
Phone No.561.427.6100
Address: 4444SECOMME: RCE�AVE,
City; STUART. State: FL
Zip Code: 34997 Fax: 220.7768
Phone No. 220.7377
E-Mail: CPOSES@AOL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: tlamingosigns@aol.com
State or County License: ES 12001146
iT value or construction 15 >ZSUU or more, a RECORDED Notice of Commencement is required.
aSUPPLEMENTAL°CONSTRUCTION`LIEN
LAW INFORMATION
__
n
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: JAmEsPAIT
Name:
Address: +fit SE COLBY AVE
Address:
City: HOBESOUND State: e-
City:
State:
Zip: a3a55 Phone: 7722632u7
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY:
x 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
which is in conflict with any applicable Home Owners Association rules, bylaws orand 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 1 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_ o fl(- Fecordine vour Notice of Commencement.
_ Signature
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF /V /I't r i H COUNTY OF /14 &1 /!/
The foLgoing instru ent was acknowledge .4Afore me The forgoing instrument was acknowledged before me
this I day of jlgct49tw 20 1O by this 17 day of P19c e" BG2 .20 IS by
A0.6 FnT �/cAL4K
(Name of person acknowledging)
%o//Z.
(Signature of Notary Public -State of Florida )
Personally Known ✓ OR Produ ed Identification
Type of Identification Produced Po/1. L rc
Commission No. �� Notary 141111>Stata of Flodda
a4♦® Robert M Rice
Revised 07/15/20
0 d 9-A 7 (l _9.6 L A tC
(Name of person acknowledging)
(Signature of Notary Public -State of Florida )
Personally Knowny OR Produced Identification /%
Type of Identification Produced
Commission No.
Notary PutAld%N* of Florida
Robert M Rice
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
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INITIALS