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BUILDING PERMIT APPLICATION
f' ,E ALL APPLICABLE INFO MUST BE COMPLETED§gi;,AP,PLI_C6TION TO BE ACCEPTED Date:09l19/2016 BY -Permit e�16 - fi; St. Lucie COLIM t _ - — Building Permit Applica SEP 19 2016 Planning and Development Services Building and Code Regulation Division M 2300 Virginia Avenue, Fort Pierce FL 34982 BY: Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x ResWf ntial PERMIT APPLICATION FOR: Sign Address: 10999 South US 1 Unit 5 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: Abbey Rose Antiques Setbacks Back: Right Side LeftSide: Two (2.) sets of 18" lighted channel letters on a raceway "ANTIQUES" -Hook to existing electric taitionaiworKtooe ertormea unaertnispermit — cnecKa ❑HVAC _Gas Tank ❑Gas Piping 11 Electric El Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 2,000 Shutters ❑ Windows/Doors Generator Roof = Roof pitch S Ft. of First Floor: Utilities:CnSewer DSeptic Building Height:20' OWNER/LESSEE_ to :s Ys \s„xln x t S"L rL1 fA+;CONTRACTOR"4 , 4,• s usMr s 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: NIA 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. lsy SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Name: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone:_ Not Applicable MORTGAGE COMPANY: Name: _Not Applicable Address: City: Zip: Phone: State: BONDING COMPANY: Name: _Not Applicable 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 may result in your improveme o your property. A Notice of Commencement must be recorded andmt before the fi inspection. If you intend to obtain financing, consult with len r an att commend Wark or r�dordine vour Notice of Commencement. > i STATE OF FLORIDA �j t COUNTY OF a l...l The f,pprr�oing in men was was a�<nowledged before me this .f�L day o�!! 20 . &y I nally Known OR Prod of Identification Produced `YG nission NoFp G`�53'd-L" Revised 07/15/2014 (Seal) 0 SWE OF FLORIDA / I/ „ / COUNTY OF� The forgoing in�men was a knowlwas a knowledg b__efore me this day o Q.I� 20iv by (Name of pe on acknowledging (Signature of Notary Public- State of Florida ) n o n rn UP Personally Known(ryOR Produced Identification Type of Identification Produced w / Commission Noi0 / 6311)-b (Seal) REVIEWS FRONT ZONING SUPERVISOR PLA S VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REPIEW REVAN REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ALL APPJ.) BL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ( _ Date: L Ir JLHBIVjVtL Permit Number: I �1 ©L01 St. Lucie Count,, Building Permit Application SEP 15 201O Planning and Development Services PERMInI•;JC, 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 Residen '8I PERMIT APPLICATION FOR: Sign PROPQtED IMPROVEMENT LOCATION; Addre s SOUTH US-1 PORT ST LUCIE, FL 34952 Legal Description: ST LUCIE GARDENS 07 37 41 ELK 3 THAT PART OF LOT 10 LYG W OF 1- LESS RDS AND CANALS - Property Tax ID #: 3414-501-6210-400-9 Lot No.10 Site Plan Name: ST. LUCIE GARDENS Block No. 3 Project Name: ABBEY ROSE ANTIQUES Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK[ I'. . 7cJo &9) 5et5 of 18" 1 iqh- ChGn/�/ � S Gn G raceway. 'A auEs by o�V S CONSTRUCTION' INFORMATI AUClitional work to 0e e orme n ert ispermit—checka appy: - OHVAC GasT nk E1E Piping _Shutters QWindows/Doors Electric 0 P []Sprinklers 0 Generator mbing Roof Roof pitch Total Sq. Ft of Constr ion: 5qI F�t.. df First Floor: Cost of Constructi : $ 2,000 Utilities: LJ Sewer Septic Building Height: 20' OWNER/LE SEE,', 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: N/A Phone No. (772) 323-5207 Address: PO BOX491500 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: ES12600309 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SU'P EMENTALtCON$TRIJCTIONLIENLAUU'INFORMATION _ DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name- Name: Address: Address: City: State: _ City: State:_ Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _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 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, accessorystructures, 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 improvementslo your property. A Notice of Commencement must be recorded and posted on the jobsite before the fi Inspection. If you intend to obtain financing, consult with lender or an attorney before STATE OF FLORIDA y COUNTY OF _ , I. The forgoing, instrument ruas a knowledged before me m this �day of �1T '{ I t1 �2�0�( //�/�yo n II < ai N�amge p rrs-on a`cknowledgin I UX > Signature of Notary Public -State of Florida ) _�• rsonally Known _OR P�od r�,d�Identifl, tipn_ pe of Identification Produced Y-i-+�f ! 153076 {j mmission NoT r 1J /&p (Seal) Revised 07/15/2014 OF FLORIDA ry OF The forgoing instrumeo w,,a�s(cknowledge before me this_a_ f&O? T jE by Personally Known OR Pry{1u�,d Identificat'on Type of Identification Produced s3c771v7 .So Commission (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS