HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:10/9118 SCANNED Permit Number:
e BY
St. Lucie County RECEIVED
Building Permit Application OCT 10 2019
Planning and Development Services Permit6n
g Department
County
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xx Residential
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: 6935 HERITAGE DRIVE #4
Legal Deseriptioni'LEXINGTON-SQUARE.CONDOMINIUM PHASE 1 UNIT
Property Tax ID#: 3415-703-0004-000-9 Lot No.
Site Plan Name: Block No.
Project Name: RAMEN HANA WINGS
Setbacks. Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: Ill
INSTALL 2' X 12' FLAT ALUMINUM SIGN PANEL (NON -ILLUMINATED)
I CONSTRUCTION INFORMATION: III
ondi wurK w oe
HVAC
en orrneu unaer uns
Gas Tank ❑Gas
perrn1L-6neCKa11
Piping
apply:
Shutters ❑
Windows/Doors
Electric
Plumbing []Sprinklers
Generator
Roof Roof pitch
Total Sq.-Ft of Construction: 24
Cost of Construction: $ 650
S Ft. of First Floor:
UtilitiesSewer ElSeptic Buildirig Height: 15'
OWNER/LESSEE:
CONTRACTOR:
Name BELGER CORP
Name: JAMES HART
Address: 1800 COLLINS AVE APT 19G
Company: GLOMASTER SIGNS
City: MIAMI BEACH State: FL
Zip Coder 33139 Fax:
Phone No.
Address: 4141 BANDY BLVD
City: FT. PIERCE State: FL
Zip Code: 34981 Fax: 772-464-2157
Phone No. 772-464-0718
E-Mail:
Fill in fee simple Title Holder on next page (if different
. from the Owner listed above)
E-Mail; signs30@bellsouth.net
State or County License: LT0000157
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
wraluivrK CIVUINCCCK':__ NOTAppllcame MORTGAGECOMPANY: Not Applicable
Name: G$\A\ �C( �5 Name:_
Address: \tea o!� N Address:
City: n State: a�L City: State:
Zip: r �tt'�� Phone_ Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:_ _
Address:
Not Applicable I BONDING COMPANY:
Address:
City: City:
Zip: Phone: Zip:
Applicable
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 permit will authorize the permit holder to build the subject structure
which is in conflict with any applicableflome 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 recordin our Notice of Commencement.
Signa Vre of Owner/ Lessee/Contractor as Agent for Owner
Signature o ontractor License Holder
STATE OF FLORIDA � pp
STATE OF FLORIDAcz
COUNTY OF SA, � _
COUNTY OF
The fo oing instrumen was acknowledged before me
this g9day of �C� 20 \�by
The forgoing instrument was acknowledge before me
this q)I-day of �, 201� by
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G'�a/i •\
e of person making statement
a e of person making statement
erso own OR Produced Identification
sonall OR Produced Identification
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Notary Pubtle State of Florida
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ar M' Explies 0125/2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17