HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r L
Date: 03/2512016 Permit Number: 0
Building Permit Application SCANNED
Planning and Development services BY
St. Luce 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
I PROPOSED IMPROVEMENT LOCATION-, .111
Address: 4878 N I
Legal Description:
Property Tax ID #: 1313-232-0001-010-7
Site Plan Name:
Project Name: McDonald's
Setbacks Front Back: Right Side: Left Side:
DETAILED DESGRIPTION,OF WORK
Install new McDonald's Road sign and make final electrical connection
Lot No.
Block No.
CONSTRUCTION; INFORMATION'::: _ :`,' , . ;:• I��
DHVAC U Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 156.9
Cost of Construction: $ 10,000.00
�cnuu—u�anan i aNN'Y.
Sas Piping Shutters 0 Windows/Doors
Sprinklers 0 Generator 0 Roof
SgqII��Ft.II, of First Floor:
Utilities:LJSewer 0Septic Building Height:_
OWNER/(,ESSEE: µ
CONTRACTOR "
Name MCDONALD'S USA LLC
AddZ457,St .7( n o.• I. �C31
Name: STEPHEN M KEMP
Company: KEMP SIGNS & SERVICE
City: PEMBROKE PINES C'%S C.l 4ate:FL
Zip Code: 33029 Fax:
Phone No. 59S '—�
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: PERM ITTING@KEMPSIGNS.NET
State or County License: ES0000229
I If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION'LIEN LAW INFORMATION:
_. .
DESIGNER/ENGINEER: _ Not Applicable
Name: CHRISTIANLANGLEY
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 1200 N FEDERAL HWY
Address:
City: aOCARATON State: FL
Zip: 33432 Phone: 888-371.3113
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 or and covenants that may hrestrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions wich 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. Ifydi intend to obtain financing, consult with lender or an attorney before
_ Signature of
STATE OF FLORIDA
COUNTY OF PALM BEACH
The forgoing instrurri was acknowledge before me
thi�� oA day of {� �20 y
STEPHEN M KENIP
(Name of person acknowledging)
STATE OF FLORIDA
COUNTY OF PA -BEACH
The forgoing instrument was acknowledged I before me
this 25 day of "^ARCH , 20 J^� by
STEPHEN M KEMP
,Name of person acknowledging )
a _4 In c uae2x �
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known Xx OR Produced Identification Personally Known Xx OR Produced Identification
Type of Identification Produc d of Identification Produc
HEATHER COLLA 0 e q1, H ATHER COLLAZO
Commission No. r �'(}SegB,tary Public - State of F 0ission No. i If: rtW9"fjy Public - State of Fli
Commission k FF 923 741
Z. : : • Commission M FF 9230'
a avnlrea Jan 2 . My Comm. Expires Jan 25.
Revised 07/15/2014
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