HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APP 1 N TO BE ACCEPTED
Date:
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Lk � SI \�_ cQY Permit Number:
St. Lucie County
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Sign
PROPOSED IMPROVEMENT IACATION:
Address: 5910 S US Highway 1
Property Tax ID #: 340350203440000
Site Plan Name: _
Project Name: Public
DETAILED DESCRIPTION OF WORK:.
Replace cabinet to existing free standing sign
RECEIVED
Building Permit Applic tionAPR 15 2019.
ST, 64clo County, per
Commercial x Residential
CONSTRUCTION INFORMATION: - , -
Additional work to be performed 'under this permit —check all that apply:
Lot No.
Block No.
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: —(DR 1
Cost of Construction: $ 1225.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NamePublic Storage
Name: Jeffrey Petersen
Address:701 Western Ave
Company: Interstate Signcrafters
City: Glendale State: _
Zip Code: 91201 Fax:
Phone No.
Address:130 Commerce Road
City: Boynton Beach State: FL
Zip Code: 33426 Fax: 561-547-3842
Phone No561-547-3760
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailElopez@interstatesigncrafters.com
State or County License S t �o CA4
it value or construction is pz)uu or more, a ImconuW 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;
uraluivrnif Clvulimcc c: _ Ivot Hppllcaole MORTGAGE COMPANY: _ Not Applicable
Name: Christian Langley Name:
Address: 1200 N Federal Hwy Address:
City: Boca Raton State: FL City: State:
Zip: 33432 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 andcovenants 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. NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSP ON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR UENDE1WR AN ATTORNEY BEFORE RECOR G YOUR NOTICE OF COMMENCEMENT."
Signature of Owne / ssee/Co actor as Agent for Owner
Signatu f ontractor/License Holder
STATE OF FLORIDA
STATE O FLORIDA
COUNTY OFPahn Beach
COUNTY FPalmBeach
The forgoing instrument was acknowledge before me
The forgoing instrument was acknowledged before me
this a day of APnI 20 I� by
this s day of APnI 2049 by
Emily Lopez
Jeffrey Petersen
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Prod ad
(Signature of
IJ_':.. �.^
(Signature of Nota I �`' at a>tl
` LI3gJOHNSON
'� : ily l0 efe orFlOdda
Commission
_t; MYCOMMI3310N8553
Commission No. '? off' Comm as b07490
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
EVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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