HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q u
Date: NS j ` SCANNED Permit Number:
F'=c -� t BY FA
CEIVED
St. Lucie County
-- Building Permit Applicatio 1 b 2019
Planning and Development Services ST. Lucie County, Permitting
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 #: 340350203440000
Site Plan Name: _
Project Name: Public
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Install two (2) building wall signs reading "Rental Office" and "Public Storage"door vinyl and window
CONSTRUCTION INFORMATION:
Additional work to be perFormed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 43.
Cost of Construction: $ 850.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
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 No561-547-3760
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 C S l Y�,()Qy I (9-A
It value of construction is S2500 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:
DESIGNER/ENGINEER: _ Not Applicable
Name: Christian Langley
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 1200 N Federal Hwy
Address:
City: Boca Raton State: FL
City: State:
Zip: 33432 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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.
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 bylaws
rules, 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 N ICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A OTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST 1NSPE , N. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
ITH YOUR LENDER OR N ATTORNEY BEFORE RECORDI YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Less a/Contracto s Agent for Owner
ontractor/License Holder
Signatur111LORIDA
STATE OF FLORIDA
STATE
COUNTY OFPaim Beach
COUNTY OFPalm Beach
The forgoing instrument was acknowledged before me
this 9 day of April 20_ by
The forgoing instrument was acknowledged before me
this 9 day of April 20 by
Emily Lopez
Jeffrey Petersen
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x I entification
Type of Identification
Produced
Type of Identification -
Produced Noyyy
LoPeZStete orFforitla
'?e E Commission GG 007480
Expi s08126/2020
(
(Signature
Commission
(Signature of Notary Publi State of orida )
Commission No. (Seal)
,�v;i!t�: LIS4JOHN80N
:g• - :A7anYi 8,2020
BOede4TMl Nohry Pubtic UrAeiwiliera
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
VIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.