HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO -MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ii
Date: Permit Number:
• SCANNED
Building Permit Application BY
Planning and Development Services ude county
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
JJL�ERIVIIT
APPLICATION FOR: Sign
IMP
Address: Intersection of Fain rids Drive and US Highway I
Legal Description: Lying in Section 21, Township 34 South, Range 40 East
Property Tax ID #: 144 9,1 AT3_ 0000 0C)o a Lot No.
Site Plan Name: Speck Purpose -Survey Block No.
Project Name: FairvAnds Golf Course Entrance Sign Replacement
Setbacks Front �Back- Right Side: Left Side:
• 91 T
�TXILO DDESCRIPTION OF *0", t,
A 10'x5'pre-fabricated entrance sign will be placed on the north side of Fairwinds Drive replacing the
previously destroyed entrance sign. f
[CORSTRIXTION INFORMATION,
A001tionalWOrKIODe enurmed under this petmit—cneCK ail pply:
LJHVAC Gas Tank E]Gas Piping :hutters E]Windows/Doors
Electric 0 Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 50 Sc Ft of First Floor:
Cost of Construction: $ 5540 Utilities., Ft.
rE]Septic Building Height: 5'
QWIVERjLESSEE:iCONTRACTOR:
NamesL Lude County BOCC - FaIrwinds Golf Course
Name:. Facilities Division
Address: 4400 Fairwinds Drive
Company: St. Lucie County BOCC
City: Ff. Pierce State:FL
Zip Code: 34946 Fax:772-462-3589
Phone No. 772-462-4653
Address: 3671 Oleander Avenue
City: Ft. Pierce State: FL
Zip Code: 34989 Fax:
Phone No. 772-462-1166
E-Mail: cammarenem@sUucieco.org
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: johnsonje@stiucleco.org
State or County License:
(I If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPEEMENTALGONSTROCTION'LIENLAWINFORMATION"'
-
DESIGNER ENGINEER: _
Name: msign w^-waaadsmEnghowiy
Not Applicable
MORTGAGE COMPANY:
Name:
° Not Applicable
Address: 13+Zelms�t
Address:
City: oftrb
Zip:32N3 Phone:4Qrrxsaom
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: =
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone:
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.
Inconsideration 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
1 /,1/A- s
Signature of _ ner Lessee ntractor as Agent for Owner Signature of Con ractor License Holder
STATE OF FLORIDA ( STATE OF FLORIDA
COUNTY OF J� ��Cl/`— e COUNTY OF
The forgoing ins
this 10 day of
Type
Commission
Revised 07/15/2014
was acknowledged before me
P s—F I 2U4;?b7
OR Produced Identification
The forgoing Instrument was acknowledged before me
this_ day of - 20_by
(Name of person acknowledging)
(Signature of Notary Public -State of Florida )
Personally Known _
Type of Identification
Commission No. _
OR Produced Identification
a%ipY
V PUIBUC
CaMW FF094408
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