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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: �O
BY
MOWN St. Lucie County 6CANNED
Building Permit Application I BY
Planning and Development Services .ucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PP
RMIT APPLICATION FOR: Demolition II
OPO
SED`IMPROVEMENT LOCATION:
Address: US -Hwy 1
Legal Description: ParcelID# 3414-501-1903-150-1
Property Tax ID #: Parcel ID# 3414-501-1903-150-1
Site Plan Name: Billboard
Project Name: Lamar Billboard
Setbacks Front 25' Back: 25' Right Side: 25' Left Side 25' II
DETAILED DESCRIPTION OF.WORK:
Demolition of Existing wood sign
CONSTRUCTION INFORMATION:
11HVAC Lj Gas Tank C
11 Electric 0 Plumbing F_
Total Sq. Ft of Construction: 378sf
Cost of Construction: $ 1000 demolition value
Piping I (Shutters
ars E Generator
5 Ft. of First Floor: _
Utilities: Sewer D Septic
Lot No.
Block No.
❑Windows/Doors
L1Roof = Roof pitch
Building Height: 35'
OWNER/LESSEE:
CONTRACTOR:
Name Dave Henry as agent for owner
Name: Dave Henry
Address:3432 Whitman Circle
Company: Dave Henry Construction
City: Lakeland State: FL
Zip Code: 33803 Fax:
Phone No. 863-686-3159
Address: 3432 Whitman Circle
City: Lakeland State: FL
Zip Code: 33803 Fax:
Phone No. 863-698-6936
E-Mail: rbehrle@lamar.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: dhenryl763@gmail.com
State or County License: CGC1512471
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEM
EN. LAW
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING
Name:
Address:
City:
Zip: Phone:
—Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure.PleasePleasecconsult with your Home Owners Assn iation Association
rev w your deed for any resttrictts ions which ay approhibit 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
STATE OF FLORIDA
COUNTY OF
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this day of
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Commission No. C-(O0 -O) y (Seal)
Revised 07/15/2014
STATE OF FLORIDA
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Commission No. �-� �a f07 y (Seal)
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