HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
W ' U
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �1 \5, 1� Permit Number:
SCANNED
BY RECEIVED
St. Lucie County
Building Permit Applicatio i APR 16 209
Planning and Development Services ST. Lucia County, fCrmifting
Building and Code Regulation Division --•^-
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: 5910 S US Highway 1
Property Tax ID p: 340350203440000 Lot No.
Site Plan Name: Block No.
Project Name: Public Storage
DETAILED DESCRIPTION OF WORK:
install one (1) wall sign reading "Public Storage".
CONSTRUCTION
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 43.
Cost of Construction: $ 460.00
_ Sprinklers _ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:,
CONTRACTOR:
Name Public 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 N0561-547-3760
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Elopez@interstatesigncrafters.com
State or County License i Cm
It value of construction is $2500 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.
1,5UPPLEMENTALCONSTRUiCTION LIEN LAW INFORMATION:
Name: chdstian Langley
Address:'1200 N Federal Hwy
City; Boca Raton State; FL
Zip; 33432 Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Address: Address:
City: City:_
Zip: Phone: Zip:_
_Not Applicable
UWNER/ 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 contlict 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 NO'
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
POSTED ON THE JOB SITE BEFORE THE FIRST INSPEI
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR
as Agent for Owner
STATE OF FLORIDA
COUNTY OFPalm Beach
OF COMMENCEMENT MAY RESULT IN YOUR PAYING
'ICE OF COMMENCEMENT MUST BE RECORDED AND
Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
�YOUR NOTICE OF COMMENCEMENT."
STATE ORFLORIDA
COUNTY OFPaimBeach
The forgoing instrument was acknowledgbefore me The forgoing instrument was acknowledged before me
this 9 day of Apnl 20! by this 9 day of AP61 20_ by
Emily Lopez Jeffrey Petersen
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Commission
LISAJOHWoh
Bonded 7NU Notary PUbk Undeariiten
Known x OR
Notary
Commission No.
Identification
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED