HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLEn INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:yl,-13 �� I
1
Permit Number: _I rin
- ,>-_. _---•---.-
SCANNED
BY
Building Permit Application St. Lucie County
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
PROPOSED IMPROVEMENT LOCATION',
Address: US Hwy 1
Legal Description: Parcel ID# 3414-501-1903-150-1
Property Tax ID #: Parcel ID# 3414-501-1903-150-1
Site Plan Name: 4JAPAU v w' 91 q
Lot No.
Project Name:_ LRMrAV` 'QvV 13l (( 004
Block No.
Setbacks Front 25' Back: 25' Right Side: 25' Left Side: 25'
DETAILED DESCRIPTION, OF WORK:
r Y �`e/ _ billboard sign ry 60,114
01 WLAOJ Sf9h
CONSTRUCTION INFORMATION:
tiona wor o e e s orme un er is perm — c ec
�HVAC []
a app y:
Gas Tank as Piping
ZElectricPlumbing
_ Shutters ❑ Windows/Doors
Sprinklers
Generator Roof Roof pitch
Total Sq. Ft of Construction: 378sf
S Ft. of First Floor:
Cost of Construction: $ $9,000 Utilities:Sewer Septic Building Height: 35'
CONTRACTOR:
utdoor
Name: Dave Henry
7RESSEE:
New Tampa HwyCompany:
Dave Henry Construction, LLC
State:F�Address:
3432 Whitman Circle
815 Fax:863-682-5498City:
Lakeland State: FL
one No. -686-3159
Zip Code: 33803 Fax: 863-682-5498
Phone No. 863-698-6936
E-Mail: rbehrle@lamar.com
Fill in fee simple Title Holder on next page ( if different
E-Mail: dhenryl763@gmail.com
from the Owner listed above)
State or County License: CGC1512471
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: �II
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
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. Lurie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
ssttructture. Please consult withpyoutr Home Owners Pssociationtandrre review your deed for any resttrits ctions which may applyhlbit such
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. If you intend to obtain financing, consult with lender or an attorney before
rnmmanrina wnrk nr rprnrdine vour Notice of Commencement.
STATE OF FLORIDA o
STATE OF FLORIDA
COUNTYOF COUNTYOF
,,NRJ, The forgoing instfU er}4.*ac :now e
Theforgoingin ,ii• "fi'¢*aclr4gLy?�� ,..n...t k ®'t'#I.F�
this day of 'SPIRE: t22020 this day of 'A`pt411IISI0NIily,G0290r4
?si EXPIRES:Seotemher 12.2020
person acknowledging) (Nar'elof person acknowledging)
Personally Known OR Produced dentification Personally Known � OR Pro
Type of Identification Produced1.-. Type of Identification Produced_
Commission No. C-(p Q 0)y (Seal) Commission No. L(7 Oa yQ)
Revised 07/15/2014
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit 'Number:
SCANNED
r "e BY
' . St. Lucie County
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
j
PROPOSED IMPROVEMENT LOCATION:
Address: US Hwy 1
Legal Description: Parcel ID# 34-501-1903-150-1
Property Tax ID #: Parcel ID# 3414-501- 03-150-1
Lot No.
Site Plan Name: Billboard rebuild
Block No.
Project Name: Lamar reconstruction
Setbacks Front 25' Back: 25' Ri ide:
25' Left Side: 25'
DETAILED DESCRIPTION OF WORK:
Rebuild existing billboard sign
JCONSTRLICTION INFORMAL?ION_ :
Additional work to e e orr�}e un ert is perm —check
�IHVAC
a ap
G s/Tank E]Gas Piping
Z✓ Electric'
_ Shutte ❑ Windows/Doors
L
1�Plumbing Sprinklers
378sf
Generator Roof Roof pitch'
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ $9,000 Utilities. Sewer Septic Building Height: 35'
�.
.OWNER/LESSEE:
CONTRACTOR:
Name Lamar Outdoor ,
.Name: Dave Henry -
Address:3760 New Tampa Hwy a . -F LV .)q
ompany: Dave Henry Construction, LLC
City: Lakeland QhttayC� State: FL4UAddress:
3432 Whitman Circle
_Zip Code: 33815 Fax:863-682-5498 :1L(OLOS1
City: Lakeland State: FL "
Phone No. 863-686-3159
Zip Code: 33803 Fax: 863-682-5498
Phone No. 863-698-6936
E-Mail: rbehrie@lamaccom
Fill in fee simple Title Holder on next page ( if different
E-Mail: dhenryl763@gmail.com
State or County License: CGC1512471
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Mal
DESIGNER/ENGINEER: x Not Applicable MORTGAGE Not Applicable (�
Name: Name:
Address: Address: II
City: State: _ City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: = Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:
City:
Zip: Phone:
1 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 t your property. A Notice of Commencement must be recorded and posted on the jobsite
before the fiWt i�ispection. If you intend to obtain financing, consult with lender or an attorney before
Signature of r/Lessee/Lontractor as Agent ror vwner nignawuevr �vncracaurrucenae nu,uci "Llf `'OKY
STATE OF FLORIDA a�1w �1Rt4`QS STATE OF FLORIDA rd I /� Nv_[ It r
COUNTY OF COUNTY OF {�
The fo ing instrum@nt Was acknowledged before me The forgoing instrumen was acknowledged before me
this / day of J�/\ 20 by this % ay of U 20 y
Ll
came of person acknowledging) (Name of person c owledging )
1�(
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known / ersonally Knowngwz
ed IdetWPIMRRiEHRLE
Type of Identfication Pr 11,,e.�,,rr° RICHARD 8ENRT� ype of Identification MY COMMISSION 9 GO 02907,
t£=Y••I ;•t MYCOM i EXPIRES: September 12,202t
E;i t ,Se tmber 12.2020 Commission No. D ommission No. �71
•...o ...'�BaMod TDm PUEfcUroariibw
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
r
DESIGNER/ENGINEER: = 1101App11caUie
Name:
Address:
City: State:
Zip: Phone.
FEE SIMPLE TITLEHOLDER: x Not Applicable
Name'
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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 ppermit 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 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, waits, signs, screen rooms and accessory uses to anothernon-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements t9 your property. A Notice of Commencement must be recorded and posted on the jobsite
before the f(i§t ibspection. If you intend to obtain financing, consult with lender �r a n attorney before
Signature of r/Lessee/Coi,ntractor as Agent ror
STATE OF FLORIDA d\� M0.Ir:,.
COUNTY OF
day of
(Signature of Notary Public- State
Personally Known
Type of identification Pr ..
Commission No.O%'
Revised 07/15/2014
me
E)"J September 12, 2020
Boded Thnii W Public Undone"W:
SignaftnEof Contractor/License noiaer I�0N W'OKY
STATE OF FLORIDA
F� C U
COUNTY OF
The forgoing instrumen was acknowledged. before me
this / ay of V 201 y
(Name of person lickeowFedging)
(Signature of Notary Public- State of Florida )
Known
No.
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS