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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �7J Date: - 2 �J I —I SCANNED Permit Number: BY ~J ;� ' 3t. Lucie County I RFr cTvr. Building Permit Application FEB 0 5 2019 Planning and Development Services ST. Lucie County Building and Code Regulation Division ,Perm 2300 Virginia Avenue, Fort Pierce F134982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMITTYPE: SIGN PROPOSED INPROVEMENT LOCATION: ,,,a.,. 899C E PRIMA VISTA BLVD PORT ST LLICIE FL 34952 Property Tax I D #: 3419.515.0001.000.3 Lot No. Site Plan Name: : Block No. Project Name: BOOST MOBILE DETAILED DESCRIPTION OF WORK: INSTALLATION OF 1 ILLUMINATED WALL SIGN, CONNECT TO EXISTING ELECTRICAL SUPPLY. CONSTRUCTION INFORMATION'S Additional work to be performed under this permit— check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors �G Electric —Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of construction: 45.5 Sq. Ft. of First Floor: Cost of Construction: $ 1,600.00 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name BOOST MOBILE Name:ROBERT D GRALAK Address:1022,SW BAYSHORE BLVD Company: FLAMINGO SIGNS City: PORT,ST LUCIE • State: _ Zip Code: 34983 Fax: Phone No. -ab'gf a'2SI Address: 4444,SE•COMMERCE AVE City: STUART State: FL Zip Code: 34997 Fax: 220.7768 PhoneNo220.7377 E-Mail: S60&d eCr&_lo2t A u)tP(upn7lQ,4K Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail FLAMINGOSIGNS@/10L.COM State or County License ES12001146 If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION - DESIGN ER/ENGI NEER: _ Not Applicable Name•JAMESPAIT MORTGAGE COMPANY: _ Not Applicable Name: Add ress:1=1 5E COLBY ACE Address: City: HOBE SOUND State: FL Zip:33466 Phone 2632677 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name • ST LUCIE REALTY GRODUP LLC BONDING COMPANY: _Not Applicable Name: Add reSS:469 MARINER DR Address: City: JUPITER FL City: Zip: 33477 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 Count yY makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contllct with any applicable Home Owners Association rules, bylaws or aril 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 improve I is to yatrrprope Notice of Commencement m and posted on the jobsite beforyee-ttff a first inspection. If you in d to obtain financ' , consult with lender or attorney before corfimencine work or recording your tice of Comme cement. Signat of Owner Lessee/Con rac s Agent for Owner Sign t re of Contract icense er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Af h /'/(&/ COUNTY OFe 4 /t r / .y The forgoing instrument was acknowledged before me The forgoing instrujMent was acknowledged before me this pI day TA maAnti 20� by this! day////of J AAtW4A� 20/± by 77of �RbL/IK /`Di76hT GhA-A/C /id(JG7t-1 Name of person making statement. Namoerson making statement. Personally Known I/ OR Produced Identification Personally Known t/ OR Produced Identification Type of Identifica 'on L P�1- I C a �esG Type of identi ication ProducedL/c bwS'I- Produced _AL, (Signature of Notary Public- 9 It crlUary public State of Florida ( gnature of Notary Public- S 2= Robert M Rice Commission No. G� U7 `?de' (P^I �ta ZG 072776 Notary Public State of Florida mmission No �`� U 7 Z '�� GG 3 ,,p<,misRsiO�n 072776 ornd` Expires 04/03/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE 1 RECEIVED t DATE COMPLETED ev.