HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CCiivirL'cTED FOR APPLICATION TO BE ACCEPT '
Date: SCANNED Permit Number:
SY
St. Lucie County
RECEIVED
Building Permit Application .CAD
Planning and Development Services FEB 0 8 1016
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 st. Lucie county
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:
Legal Description: KINGS HIGHWAY INDUSTRIAL PARK -UNIT TWO- BLKA LOT
42 (0.66 AC) (OR 1320-401)
Property Tax ID #: 1335-802-0027-000-9 Lot No.
Site Plan Name:_
Project Name: Core
Setbacks Front Back: Right Side:
Install Single Face Wall Sign on the West Elevation
HVAC LJ Gas Tank L_JGas Piping
Electric 1:1 Plumbing [:]Sp inklers
Total Sq. Ft of Construction:
Cost of Construction: $
78.12 SgFT
1200.00
Block No.
Left Side:
Shutters Windows/Doors
Generator 11 Roof
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height: 25,
Roof pitch
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Name Ore a, jviainf)VtjName:
Joseph AainoiTe
Cumberland Bv
Address:
ternative Sign roup
Company:
nc
City: Atlas a
State:
Address: Northlake L31vcl
Zip Code: Fax:
_
City: Wes a m each
State:_
S6T-722=-
Phone No.
Zip Code: Fax:
Phone N
E-Mail: JO ynn asgslgn.com
Fill in fee simple Title Holder on next page (if different
E-Mail: JO ynn(svasgslgn.com
State or County License:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
S�'PF'LEiVtENa ��LG®NSTRs N iEtU LAV1/ INFfJRIVIATION<
DESIGNER/ENGINEER: _ Not Applicable
Name: Christian Langley
MORTGAGE COMPANY: Not Applicable
Name: N/A
Addregs: a era Hwy
Address:
City: O �t te:
Zip: Phone /
City: \ State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: N/A
BONDING COMPANY: _Not Applicable
Name: N/A
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.
St. Lucie Count 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 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 vour Notice of Commencement.
�JC--
Signature of Own / L see/Contractor as Agent for Owner
Signa(ufeof Contractor/License Holder
STATE OF FLORIDA ��
STATE OF FLORIDA
COUNTY OF
COUNTY OF 7 40
The f rgoing instrume a acknowledg before me
The fo going instru n Wis., acknowledg efore me
this day of - 2 by
this day of M 2� by
Name of per or king statement
Name of petap making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identificatio
Produced
Produced
(Signature o -State of Florida )
(Signature of Notary Public -State of Florida )
Co -OMERO (S l)
Commis '
nuns
Notary Public -Stale of Florida
FF 925288
, nm,,�pAyTE[ M. ROMER
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a°. Notary Public - State of Florida
e . • .` ommission #
= • • ' ssion # FF 925288
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Expires Oct 7, 201
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ANGROVE
13NTER
REVIEW
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Rev.8/2/17