HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt-
ALL APPLICABLE 1 FO 7UST BE. COMPLETED FOR APPLICATION TO BE ACCEPTED / 7
Date: "7 SCANNED Permit Number: 1 r/ OG —oac
r, �3 BY
k St. Lucie Cniinhf
Building Permit Application
Planning and Development Services
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
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Address: 10850 US1, PORT ST�LUCIE, FL
Legal Description: ST LUCIE GARDENS 12 37 40 ELK 4 FROM INT OF E R/W US.#1. AND 111 LOT 15 RUN SELY ALG:RLW
200 FTTO POD, TH CONT SELY 100 FT. TH'NELY 168.04 FTTO W RW LENNARD RD, TH N94.90 FT, TH SWLY215.20 FT TO POD (MAP 4412S) (OR 3344-524)
Property Tax ID #: 3414-501-5015-060-9 Lot No:
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
CONVERT EXISTING LEGAL STATIC BILLBOARD TO DIGITAL FACES.
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1HVAC Gas Tank
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❑Gas Piping
apply:
_
_ Shutters
Windows/Doors
11 Electric
0 Plumbing
[]Sprinklers
11 Generator
Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 175,000
5 Jt. of First Floor:
Utilities: Sewer 1-1
Septic
Building,Height:
Roof pitch
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CONTRA
Name SEABOARD OUTDOOR, INC.
Name: Matthew Hennessy
Address; 5555 SE MATOUSEK ST
Company: SIGN PRO OF NORTH FORIDA, INC.
City: STUART State: FL
Zip Code: 34997 Fax:
Phone NO.772-678-1786
Address: 14404 NW"154TH TERRACE
City: ALACHUA State. FL
Zip Code: 32615 Fax:
Phone No. 352-359-7059 or386-518-6887
E-M6ii.-daveshepherd44@gmail.com
Fill In fee simple Title Holder on next page { if different
from theOwnerlisted above)
E-Mail: signpronfl@gmaiLcom
State or County license: ES 12000544
If value of construction
Name: --
Address:
City: State:
ZIP`• Phone:
FEE SIMPLE TITLE HOLDER:_NotA
Name: pplicableAddress:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City; State:
Zip: Phone:
Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING
I certify that no work or installation has commenced prior to the issuance of apermit.
• -- -- - -- + �•, •- o1ju 1 evmw your oeea ror any restrictions which may a ` Iy .
In consideration of the grantingofthis requested permit,.l do herebyagree than will, in all respects, perform the work in accordance with theapproved 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. If you intend to.obtain financing, consulwit "rider or an attorney before
COmmenlr%nHi6k 'N�nr rnmrrnoh.. n,.... ni.;..;. ,.c r.,._ � _ _ __ _ _ _
STATE OF FLORIDA
COUNTY OF
The forggq�i 1g instrume t wa acknowledged before me
this _`d`ay of Y0 �y
�Ct Gt c%�=
(Name of person acknowledging )
r
(Signature of Notary Public- State of Florida )
Personally Known •;jo uce I enh ¢anon
Type of identification Pr a1 uw Mnxoa t
Camm15510n Na. V.t Cammisdooi GG070808.
MY &AI" Feb 8, 2021
Revised 07/15/2014
STATE OF FLORIDA
COUNTYOF
The forg4�.iostrum-e�n/twas cknowledge before me
this r`i� 1y'of •J 20 12:by
(Name of person acknowledging
'Personally Known
Type of Identificat
'Commission
My Comm eipliz Feb 8, 7021
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SUPERVISOR
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INITIALS