HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
C7
ALL APPLICABLEINFO
CM/UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: !S-, its •I j SCANNED Permit Number: 5J G 1A3_1 I
'- LL- °Y BY RECEIVED
• St. Lucie County
Building Permit Application MAY 15 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Sign
Address: 7121 S US Hwy 1 Ste
Legal Description: Please See
Property Tax ID #: 3422-211-0010-000-6
Site Plan Name:
Project Name: American Frieght
Setbacks Front"Back:A
Install One Illuminated Wall Sign
St Lucie FL 34952
Side:
AUul llur rdr WUIK lu ue per iumieu Ur LLler LIM fler I r0.—L1
EIHVAC _ Gas Tank ❑Gas Piping
11 Electric 0 Plumbing []Sprint
Total Sq. Ft of Construction:
Cost of Construction: $ 12,560.00
Lot No.
Block No.
Side:
Shutters ❑ Windows/Doors
Generator 0 Roof = Roof pitch
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
Name' Pr 'r t� ^G •
Name: Joel White
Address: 64a S O.,bu ry (tA
Company: White Sign Company LLC
City: State:0�-t
Zip Code: "l �O 1' S Fax: p
Phone No. !
E-Mail: (2 AMe r- CDrh Frei
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Address: 907b S Charles Richard Beall Blvd
City: Debary State: FL
Zip Code: 32713 Fax: 386-320-863& 6f4 7_3
one No. 386-3200623
-Mail: Permitting@whitesigncompany.com
State or County License: ES12000976
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
UFPLEjV1ENTAL CONSTRUGTIONEL`IEN LAW INFORMATION"
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
city:
Zip: Phone
Stater_
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not
Name:
Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain apermit 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 Counttyy 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 orand 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
commencing work or recap&ns vour Notice of Commencement. ✓
' tureofOwner/Lessee/Contractor as Agent for Owner
Si- ureofCo aor/LicenseHolder -
STATE OF FLORIDA \ I j
COUNTYOF J6uslCl
.STATE OF FLORIDA
COUNTYOF
V���i<,Strl
The forgoing instruTeept was acknowledged efore me
this day
The for o'ng instrum n was acknowledged before me
this.10pday 20 by
of�1I,100 ,20\eby
of
Name of peersqp making statement
Name of person making statement
Personally Known 7k OR Produced Identification
Personally Known ✓OR Produced Identification
Type,,of Identification -� -
Type of Identification
Produced -
Produced -
Lure of Notary Public-
_!f otary Public-S Notary Public StetooFb daA
n
Awad
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otaryPublieSlate
of Florida
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ommission GG
C10f418
Expires 01/311222
SEATURTLE
MANGROVE
REVIEWS FRONT ZONING SUPERVISOR PLANVI EGETATION
COUNTER REVIEW REVIEW REVI REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Z11tq Its
Rev. 8/2117
k .qx �ksmmer-nx^:'�Yn,�Y 4el,.[.'n
SUP,PLEMENTAL�GONSTRUCTION
sss �tss,... 1 ,r,:
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LIENx` AW INFORMATI®N:
M"v. s�± ,.
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'
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Countty� 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
commencine work or recordine vour Notice of Commencement. ' ✓ _.-
Signature of Owner/ Lessee/Contractor as Agent for Owner I Si ure of
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of 20_ by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS
COMPLETED
Rev. 8/2/17
FRONT I ZONING
COUNTER REVIEW
Holder
STATE OF FLORIDA
COUNTY OF I9tX
The for n g instrum was acknowledged efore me
this day of A 20A by
Name of person m king statement
Personally Known 1C R Produced Identification
Type of Identification
Produced
ignature of Notary Public -
Commission No. /.3 • ZZ
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
1't3J
Notary Pubin State of Florida
Ste; E Awad
My Commission GG 181413
Expires 01/31/2022
SEATURTLE MANGROVE
REVIEW REVIEW
SUPPL>3MENTAL CO`NaTRUC 19,14il;!ERIAIi';)Ni
r fititt'
�R�ViAiTi§N
• ..
, S.
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: ;_
Name:
Not Applicable
BONDING,COMPANY:
Name:
_Not Applicable
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.
In consideration of the granting of this requested permit, ( do herebyagree:thatI 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 belrecordecland posted on the Jobsite
before the•firstinspection. If you intend to obtain financing, consult with lender or an attorney before
commencing worlcor recordine vour Notice of Commencement.
ture of Owner/ Lessee]Contractor as Agent for Owner
Sp Ed re of CoWaatror//Ucense-Holder
STATE OF FLORIDA `' t
V oluskl
STATE OF FLORIDA
COUNTYOF . I
000NTYOF ,V�ILt,Srrt
The for oinginstru� was acknowledgged efore me
72dayof eby
The for ojng instrum n gas acknowledged before me
this _�t1 1,)e .20
this.; day of 20A by
Name of ers9 making statement
person making statement
Personally Known �OR Produced Identification _
yKnow
Personally Known ✓'`OR Produced Identification
Type of Identification
Type of Identification
Produced /
.Produced
(S a of Rotary Pub Ic-S SEture of Notary Public-
Flo d. -
.N�o�"lary
-
:Neyry Public state of
Commisslo/nNo. � l� 1S�IQ "'j,Awad
tie fat4 Ito fission No. J:i . ZZ'
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GG 101413
ow
SEATURTLE
MANGROVE
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17