HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n^
Date: 1019r18 SC NNEL) Permit Number: I�I O' M,3
BY
s miniSt Lucie County RecEtveD
- Building Permit Application of ><°o zo�a
Planning and Development Services
Building and Code Regulation Division Permltting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 4624578 Commercial XX Residential
Address: 4898 KINGS HWY
Legal Description: 'SEE ATTACHED PROPERTY CARD
Property Tax ID #: 1313-232-0001-0004
Site Plan Name:
Project Name: I GLOW TAN
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
Lot No.
Block No.
INSTALL NEW LED ILLUMINATED CHANNEL LETTERS TO READ -I GLOW TAN WITH A LOGO
(HOOK TO EXISTING ELECTRIC) 26.84 SQ. FT.
INFORMATION:
E1HVAC U Gas Tank
EElectric 0Plumbing
Total Sq. Ft of Construction: 26.84
Cost of Construction:'$ 2300
Piping
shutters O Windows/Doors
Generator 0 Roof 0 Roof pitch
S Ft. of First Floor: _
Utilities:T]Sewer Septic
Building Height: 22'
OWNER/LESSEE:
CONTRACTOR:
Name US BANK NATIONAL ASSOCIATION
Name:. JAMES HART ...
Address: 5221 N O'CONNER BLVD SUITE 600
Company: GLOMASTER SIGNS
City: IRVING State: TX
Zip Code: 75039 . 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: ET0000157
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN E ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: V_-aSkk Se k5,
_
Name:
Address: ta�O C�ecal
�1w�
Address:
City: �7l7CkL
State: -L
City:. State:
Zip:'3314 Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:_
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.
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 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 your Notice of Commencement.
L, 7� l4Co1, i
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Signat leof Owner/ Lessee/Contractor as Agent for Owner
Signature Contractor/License Holder
STATE OF FLORIDA `
STATE F FLORIDA p D
COUNTY OF Jam_ lsxAC
COUNTY OF a7t• �< yQ,
The for oing instrument as acknowledged before me
Cl bu-
The forgg,gqing instrument as acknowledged before me
thisayof Or,+ by
thisday of 20A by
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I e of person making statement
Na e f person making statement
wn OR Produced Identification
na own OR Produced Identification
ypeofldeMif'ication
o Identification
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17