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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COGL,.:TED FOR APPLICATION TO BE ACCEPTE.� Date: 11 /28/17 SCANNED Permit Number: �—rl— oo 10 BY St..lude County D R 9 2 g u Building Permit Applicati011 NOV 3 0 2017 Planning and Development Services Building and Code Regulation Division 2300Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 BY: ....................... Commercial x Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III PROPOSED IMPROVEMENT LOCATION: Address: Legal DescriptiomW,)jf! Property Tax ID #: Lot No. Site Plan Name: City Electric Supply U Block No. Project Name: City Electric Supply Signage Setbacks Front 488 Back: 55 Right Side: 1070 Left Side: 377 I DETAILED DESCRIPTION OF WORK. III Install (1) set of City Electric Supply replacement panels on the existing double-faced pylon sign. 1w � CONSTRUCTION IN 1- to— ❑HVAC ❑Gas Tank ❑Gas Piping ❑Shutters ❑Windows/Doors ❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch Total Sq. Ft of Construction: 8.72 Cost of Construction: $ 787 S Ft. of First Floor: _ Utilities:In Sewer []Septic Building Height: 16.5' ' OWNER/LESSEE: CONTRACTOR: Name Branca Reed Real Estate Name: David W. Jackson (Qualifier) Address:311 S. 2nd Ave. Suite 1.02A Company: Anchor Sign, Inc. -City:- Fort Pierce State: FL Zip Code: 34950 Fax: Phone No. 772-519-0505 Address: 2200 Discher Ave. City: Charleston State: SC Zip Code: 29405 Fax: 843-576-7209 Phone No. 843-576-3209 E-Mail: daleboyd772@gmail.com Fill in fee simple Title Holder on next (.if different from the Owner listed above) E-Mail: crobertson@anchorsign.com State or County License: ES0000291 If value of construction is $2500 or more, a RECORDED Notice of.Commencement is required. l SUPPLEMENTAL CONSTRubT6N LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: . Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. no representation that is granting a permit will authorize the permit holder to build the subject structure any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such It 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 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 commencing work or recording your Notice of Commencement. Signature of Owner Lesse Contractor as Agent for Owner Signature of Contra tor/Lic se Holder STATE OF SOUTH CAROLINA STATE OF SOUTH CAROLINA COUNTY OF CHARLESTON COUNTY OF CHARLESTON The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 28th day of November 20 t? by this 28th day of November 20 1? by David W. Jackson David W. Jackson Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Iden ' ation Type fication Produced (nation msel Produ �TM ILL i HOPKINS Isge e JLLA.HOPKINS 1 OF SOIJIII CARD 1 (Sign u'Ali" „ p mml@ i@fi I (Signs �, ="IV° ommi sign eraI p1 112025 „n „° Comm Commi n No.. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE I RECEIVED I I DATE EEE COMPLETED Rel Rev.8/2/17 I 1 (