HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/15/2016 Permit Number:
SCANNEDBuildin Permit Application BY
Planning and Development Services St. Lucie Countv
Building and Code Regulation Division _
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR:
Address: 10993 SOUTH US-1 PORT ST. LUCIE, FL 34952
Legal Description: SEE ATTCHED LEGAL DESCRIPTION
Property Tax ID #: 3414-501-5016-000-8 Lot No.)119
Site Plan Name: ST LUCIE GARDENS Block No. A_
Project Name: TC CUSTOM HOMES
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
�.. _ -�._. �.. .. ....- .._ .. .. _v.-.-_ .. -
(X1) SET OF LIGHTED CHANNEL LETTERS ON A RACEWAY.
CONSTRUCTION ;IN FORMATION;
itiona wor to a erorme under t—checkispermit a apply:
[1HVAC E] Gas Tank Gas Piping _ Shutters Windows/Doors
11Electric ElPlumbing Sprinklers Generator 1:1Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1,500.00
Sq. Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
INNER/L-ESSEE
CONTRACTOR: ; ,-
Name MONDO PROPERTIES LLC
Name: JAY BERRY
Address:4237 RIGELS COVE WAY
Company: JW BERRY SIGNS
City: JENSEN BEACH State:FL
Zip Code:34957 Fax:
Phone No. (772) 323-5207
Address: PO BOX 491500
City: LEESBURG State: FL
Zip Code: 34749 Fax: (352) 728-8669
Phone No. (352) 728-1119
E-Mail:
Fill in fee simple TitleHolder on next page ( if different
from the Owner listed above)
E-Mail: PERMITTING@JWBERRYSIGNS.COM
State or County License: ES12000309
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
1,
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION`A ;y
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: EAsysEALs Name:
Address: 1200 NORTH FEDERAL HIGHWAY A200 Address:
City: BOCARATON State: FL City: State:
Zip: a 32 Phone: (561)246d713 Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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 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
improvements to your property. A Notice of Commencement must be r
before the first inspection. If you intend to obtain financing, consult
_ Signa-ture of
C UTNTY OFORIDA sit P� q9JS'YATY OFFORIDA
LAKE
The forgoing instrument was acknowledged before me The forgoing instrument was
this _ day of 20 _by I this 75 day of "'NE
I( JAY BERRY
(Napke of person acknowledging ) (Na* pf person
Personally Known OR Produced Identification
Type of Identification Produced
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Revised 07/15/2014 "Oa Nolary Public. 204
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