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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:Permit Number. SCANNED BY ` St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 4*), `���� Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Resid@$1 P/p PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line9� °r PROPOSED IMPROVEMENT LOCATION: Address: '63 \1 l'tl©l (���'" f2Z`L LA-3G PS(� .. 3'KQ(;�6 Legal Description: RESERVE COMMERCIAL TRACT "A NORTH MAIN ST VILLAGE PHASE 1 Property Tax ID #: 3327.803.0002.000.2 Lot No. Site Plan Name: Block No. Project Name: LANG MANAGEMENT Setbacks Front Back: htSide: eftSide: DETAILED DESCRIPTION OF WORK: INSTALL WALL SIGN, INDIVIDUAL PLASTIC -LETTERS CONSTRUCTION INFORMATION: ttiona wor to e e orme un ert ispermit—c ec a apply: OHVAC E]GasTank, �GasPiping _Shutters ❑Windows/Doors Electric ElPlumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 10.6 S Ft. of First Floor: Cost of Construction: $ 600.00 Utilities:]Sewer Septic Building Height: OWNER/LESSEE: Y ., CONTRACTOR: ' ,; ame Z� �ifr�P' C iZc1 f o tL Named Uxw FLAMINGO SIGNS' Company .0 s " Addressi',5 o I T 25/c L • FL__ City: �0'4 °�ii .Zo(A,!- State:_Address:Y:�t+t/d�i��w-C!Ort�t`cQ��[ >acJ`= City: —6 Vft•2r State:.FL Zip Code:34986 Fax: Phone No.467.1299 Zip Code: 34997 Fax: 220.7768 E-Mail:J•FALK@LANGREALTY.COM Phone No. 220.7377 Fill in fee simple Title Holder on next page (if different E-Mail: FLAMINGOSIGNS@AOL.COM State or County License: ES 12001146 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: - DESIGN 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 County makes no representation that is granting a permitwill 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 befor . If you intend to obtain financing, consult with lender or an attorney before c encin work or recor ' our Notice of Commenc Rev.8/2/17 ER/ENGINEER: _Not Name: J'�e-\ 2,S 6"�>aw�' Applicable MORTGAGE COMPANY: Name: _�1Vot Applicable Address:�,Y +c�i-c,r3 K p.,�g_ Address: City: ><l o c32 hov�0 State:'iv�- Zip:3'7HS5 Phone City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: _Not Name:e.ea4i�l-ar2�r.�` i�lu�L6� Applicable C'=��'c2u-�- BONDING COMPANY: Name: _Not Applicable Address:7oo t7av�l_riF ��1/n/+.aFc�, z� god Address: City:'P,nch Stn-�z®-o ram_, City: Zip: �3kKi• Phone: Zip: Phone: ignatu of Owner/ essee/Coot ct as Agent for er Signs Contr nse Holder STATE OF-F �h �- Z /�y STATE OF FLORIDA g'19� COUNTY OF COUNTY OF7 The forgoing instrument was acknowledged before me The forgoing instrumgnt was acknowledged before me this �� day of N nil i L . 20 I frby this_ day of ft�Al C 20L by �UO C_1i L`il/i L/IK �Ot7�27 G-/L9 t_hz Name of person making statement Name of person making statement Personally Known � OR Produced Identification Personally Known L OR Produced Identification Type of Identification Type of Identification Produced P�- Lrc Ghs'Ir Produced (Signature of NotaryI Public -State of Florida) (Signature of Notary Public- State of Florida ) Commission No. �L � No(� 8i)blic State or Florida Commission No. ��r Z 7 � N�IdRl�te of Florida Roben M Rice My Commission GG 072770 My Commission GG 072776 �� 04103/2021 an Expires 04/03/2021 orF REVIEWS FRONT ZONING SUPE VISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW RE IEW REVIEW REVIEW REVIEW REVIEW DATE !� Z RECEIVED DATE COMPLETED