HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n "
Date: I ' % I - i f e _ o� SCANNED Permit Number: ��% I t �j Lp I
St. Luce County RECEIVED
Building Permit Application JAN 2 6 2016
Planning and Development Services PERMITTING
Buildingand 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: Sign -
PROPOSED' IMPROVEMENT LOCATION:
Address: 10410 S OCEAN DR JENSEN BEACH FL 34957
Legal Description: HUTCHINSON ISLAND CLUB
Property Tax ID #: 4511.514.0000.000.9 Lot No.
Site Plan Name: Block No.
Project Name: THE ISLAND CLUB'
Setbacks Front Back: _Right Side: Left Side:
DETAILED DESCRIPTION' OF WORK:
INSTALL PIN MOUNT NON-LIT.LET ERS TO 2 SIDES OF ENTRANCE WALLS �
CONSTRUCTION INFORMATION:
riuwuund1 WU1K w uc enunneu unueF uas perrnn—cneLK au dppry:
DHVAC 0 Gas Tank DGasPiping _Shutters ❑Windows/Doors
0 Electric 0 Plumbing []Sprinklers I] Generator Roof
Total Sq. Ft of Construction: 27.5 Sq. Ft. of First Floor:
Cost of Construction: $ 6,500.00 Utilities: Sewer []Septic ,- ` Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name HUTCHINSON ISLAND CLUB CONDOMINIUM ASSOCIATION
`Aditssri0410�S-OCEAN DFf ,,,,,r,,,Companyt''FLAMING&SI9NS
Name: ROBERT GRALAK '
"
`�j ''JEN EN,BEAC,Hb i State: L ""
ZI p,Code `.3057 °!',—.F Fax: ; °�
PliOite'IVti~63Y 8725 - L '�,�.^.^
- dd1ess ^: SE P,(?MMERCE AVE
kc..
BTUART' 4 FL
City. n State:
`Zip"Cvae�"34997r""'N "° Fax: 220.7768
Phone No. 220.7377
E-Mail:
Fill in,fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: flamingosigns@aol.com
State or County License: ES12001146
If value of construction is $250D or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:. ' III
DESIGNER/ENGINEER: x Not Applicable
Name: JAWESPAIT
Address: 12201 BE COLBY AVE
City: HOSE SOUND State: FL
Zip:33ass Phone:263.26T7
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or angcovenants 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 concurrenry 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
' III _Signature
STATE OF FLORIDA STATE OF FLORID
COUNTY OF M06 n COUNTY OF
The forgoing instryment was acknowledged before me The forgoing instryment was acknowledged before me
this � day of UAL 20 ]_Vby this _a day of Oaj)U(I YU . 20 I_U_ by
(Name of person acknowledging) (Name of person acknowledging)
89iuN&1 1 P,bRbi YI tXV 9� VQIJa�
(SSignatureature o�tary Public -State of FI ida) (Signature of Votary Public -State of Florida )
Personally Known � OR Produced Identification
Type of Identification Produced
Commission No. q �$3G3 Cyym
Revised 07/15/2014
Personally Known OR Produced Identification
Type of Identificati n Produced
938393
NMry Public Ei .... .
Exnl..; •:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVI W
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
2 $ /
INITIALS