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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (2)f 1. r , 0 SCANNED BY St. Lucie County ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLIC TION TO BE ACCEPTED Date: Permit Nu Building Permit Applicatio Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X KMEIVED NOV 15 2018 Permitting Department St. Lucie County, FL PERMIT APPLICATION FOR: Sign PROPOSED'IMPROVEMENT'LOCATION: x "- Address: 3030 S 25th ST Legal Description: EDGEWOOD ACRES BLK 1 LOT 1-LESS W 15 FT- (0.71 AC) (OR 2302-1761) Property Tax ID #: 2428-603-0001-000-8 Site Plan Name: Project Name: Marathon Monument Sign Setbacks Front Back: Right Side: Left Side: Lot No. Block No. Replacement of double sided monument sign. '-CONSTRUCTION INFORMATION: H :;•mvN p AodltlOnal work to a erorme under tispermlt—c ec a apply: EH VAC E] GasTank Gas Piping _Shutters ❑ Windows/Doors ®Electric 0 Plumbing Sprinklers 11 Generator E]Roof Roof pitch Total Sq. Ft of Construction: 50 Sq.t of First Floor: Cost of Construction: $ 4200 Utilities:Sewer —Ft.� OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: 11 NameFort Pierce Realty LLC Name: Gustavo Cala Address: PO Box 970850 Company: Shark Signs City: Coconut Creek State: FL Zip Code: 33097 Fax:561-588-5759 Phone No. 954-914-3666 Address: 1701 NW 107th Terrace City: Plantation State: FL Zip Code: 33322 Fax: 888-724-7499 Phone No. 754-300-9493 E-Mail: ashehadeh68@gmail.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: sharksignsinc@gmail.com State or County License: Est 2001244 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL G©NSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable N a me: Aleiadm Vargas MORTGAGE COMPANY: _ Not Applicable Name: Address:. 1e25 Cedar Falls or. Address: City: wasma State: FL Zip: M327 Phone City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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. Z7 structure. the permit holder to build the subject structure and covenants that may restrict or prohibit such aed 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 recordp4aM posted on the jobsite before the tlrst inspection. It you intend to obtain financing, consul e r cVn attorney before cDoTmeneing work or recordin our Notice of Commencemen . Signature wner/ Lessee/Contractor as Agent for Owner Signatur of Con ra o Licens Holder STATE OF FLORIDA STATE OF FL R�ID]A COUNTY OF '�Auw� A�� COUNTY OF Y AiW The forgying instrument was acknowledged before me The forgoing instrument was acknowledged before me this /'day of CJc-TO6Z0_ 20 Ik by this day of 0r� 20_2 by / gow SI1EN,4a// Name of person making statement Name of person making statement Personally Known OR Produced Identification It Personally Known — OR Produced Identification Type of Identification Type of IdentificatiGn " Produced LI r&V61- Produced -Aiwa- tmy MAmo EDWA IDS Q NOTARY PUBLIC 0 OF FL �`�'� JOSEPH PAUL DIBIASE oSTATE RIDA _ sc to of Florida -Notary Public (Signature of Notary Public- State of Fld y� Ex Tres 4/23/ p 0 atui a c- %WiEofrefdsidaJ Expires September 10, 2021 Commission No. "_G5 (Seal) vu— Commission No. e REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17