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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1E SCANNED Permit Number:Qu �Jyl�i BY St. Lucie County Building Permit Application REC0jE1 Planning and Development Services 'Q IDA Building and Code Regulation Division pPR 2300 Virginia Avenue, t Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial t/ Residential °�t Lucie unty nt PERMIT APPLICATION FOR: Sign III Address: 6598 US Hwy 1, Port St. Lucie Legal Description: WHITE CITY GARDENS - AN UNRECORDED PLAN IN SEC 15-36-40, LOTS 11, 12, 13, 14 AND 15 LESS RD R/W (1.21 AC 52.708 S.F.) Property Tax ID #: 3415-502-0011-000-4 Lot No. Site Plan Name: Block No. Project Name: Burger King Setbacks Front Back: Right Side: Left Side: install non -illuminated, on -site, directional signs for Burger King a onaiwortcwoe errorrneu HVAC Tank unaeruusPerrnu—cnecrcau ❑Gas Piping dPpry: In ❑Windows/Doors _Gas _Shutters Electric 0 Plumbing ❑Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ /fn a o `- S Ft. of First Floor: _ Utilities: Sewer ❑ Septic Building Height: Name Seven Real Estate Holdings LLC Name: David Wayne Allen Address:117 Hidden Glen Way Company: Allen Industries of North Carolina, Inc. City: Dothan State: AL Zip Code: 36303 Fax: Phone No. 954/909-8141 Address: 11351 49th Street North City: Clearwater State: FL Zip Code: 33762 Fax: Phone No. 727-573-3076 E-Mail: Fill In fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: renee@signpermitsplus.com State or County License: ES0000150 If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. 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 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 Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencingwork or recordingour Notice of Commencement. Rev. 8/2/17 �S�JPP�L�MENT,4L CONSTRIJCTI01y�LIENFL4�IV�,INFO�MA,T�I©I� ���.� � � '? � _ ti��� x��� �� � L DESIGNER/ENGINEER: L/ Not Applicable MORTGAGE COMPANY:Applicable Nam Name:=•��,a:'—=— Address:•e�aaest+.,r+.•�ef-�e Address: �Ar City:'�� State: � City:��r— State: Zip:— Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: _ of Applicable Name: Name: Address—~'° 4 ^`; Address: City: City: Zip: Phone: Zip: Phone: .2.Jr.�.rl/ �V. Gam. Signature of Owner/ Lesse Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA � STATE OF FLORIDA COUNTY OF PtiC.I%cS COUNTY OF �S The forgoing Instrument was acknowledged before me � The forgoing Instrument was acknowledged before me this day of 20 l� by this �'�' •day of � � .20L by Name of person making statement Name of person raking statement Personally Known OR Produced Iden 'fi t' n Personally Known i/ OR Produced Identification Type of Identification . ••••••.. IANEMHYDE Type of Identification •1�.,,,&,, ro Uced : a. N.taw Public- Stated Florida Produced :•""""'••., IANEMHYDE ' ' •= CommissionAGG 072856 MyCommExpires Feb 14, 2021 " `a �- NotaryPublic-fitateofFladda •, - Commission GG 072856 ?+ MyComm. Expires Feb 14,2021 AccdAlhmughNxtlonalNaiaryAlm. 11 f BmdedlM1iauSM1NxllomlNONryAs+n. Si nature of Nota blic- State of Florida) (Si na ure of No