HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED e� 1
Date: 6/24/2016 Permit Number: /� I lJ(U�QJ /
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Building Permit Application BY
St. Lucie Planning and Development Services 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: Sign
PROPOSED_ IMPROVEMENT LOCATION:
Address: 10997 SOUTH US-1 PORT ST. LUCIE, FL 34952
Legal Description: ST LUCIE GARDENS 07 37 41 BLK 3 THAT PART OF LOT 10 LYG W OF US 1-LESS RIDS AND
CANALS- (MAP 45/07S) (OR 3719-649)
Property Tax ID #: 3414-501-6210-400-9 Lot No.10
Site Plan Name: ST LUCIE GARDENS Block No. 3
Project Name: DISCOUNT OFFICE FURNITURE
Setbacks Front Back: Right Side: LeftSide:
(X1) SET OF LIGHTED CHANNEL LETTERS ON RACEWAY "OFFICE FURNITURE"
onaiworKtoDe errormea
HVAC Gas Tank
unaerwisperma—cnecKan
�GasPiping
aWIT
Windows/Doors
_Shutters
Electric 0 Plumbing
Sprinklers
11 Generator
Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 1-000.00
S Ft. of First Floor: _
Utilities:]Sewer Septic
Building Height: 20,
OWNER/LESSEE:
`CONTRA OR
` _-
NameMONDO 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: MONDOPROPERTIESLLC@GMAIL.COM
Fill in fee simple Title Holder 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.
SUPPLEMENTAL CONSTRUCTION L-IEN LAW INFORMATION
Name: EAsysE s
Address: 1200 N FEDERAL H #200
City: BOCARATON
Zip: =132 Phone:
(561)24 713
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State: FL
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
_Not Applicable
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 record posted on t site
before the ,,first inspection. If you intend to obtain financing, consult with der or n attor before
commending work or recording vour Notice of Commencement. / /
e
STATE OF FLORIDA
COUNTY OF
The forgoing,inst ment was acknowledg before me
this�dayof�A�ne 20� by
person
5OVNTY
OF�
The forgoing instrument was
this 2' day of JUNE
JAY BERRY
(Name of person acknowledg
1 / / / ( /� r I
ed before me
I& by
.Ognatlure of Notary Public-Stat&f Florida ) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07/1
(Seal)
Notary Public - State of Florida
My Comm. Expires Dee 20. 201a
Commission No. FF953126
VIZOMMISSION p FF
EXPIRES January 27,
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