HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-23-2019 SCANNED Permit Number: "llJ4'CJIGO I
BY
St. Lucie County
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: SIGN PERMIT
PROPOSED IMPROVEMENT LOCATION:
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Commercial X Residential
Address: 7041 S US HIGHWAY 1 PORT SAINT LUCIE FL 34952
Property Tax ID #: 3422-600-0002-000-1
Site Plan Name: LUSO PLAZA
Project Name: LUSO PYLON / MONUMENT
Lot No.2
Block No.
I DETAILED DESCRIPTION OF WORK: I
INSTALL MULTI TENANT PYLON / MONUMENT
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 275
Cost of Construction: $ 36,500.00
Sq. Ft. of First Floor:
_ Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height: NA
OWNER/LESSEE:
CONTRACTOR:
NameLUSO HOLDINGS LLC
Name:JAMES MICHAEL NOLE
Address:380 NE BRAZILIAN CIRCLE
Company:ST LUCIE SIGNS LLC
City: PORT SAINT LUCIE State: _
Zip Code:34952 Fax: NA
Phone No.772-370-1468
Address:1147 HERNANDO ST
City: FORT PIERCE State: FL
Zip Code: 34949 Fax: NA
Phone N0772-971-6363
E-Mail: PERMITS.STLUCIE@GMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail SALES.STLUCIE@GMAIL.COM
State or County LicenseES12001557
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.
.SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: EASY sEALs
MORTGAGE COMPANY: _ Not Applicable
Name:
Add reSS:1200 N FEDERAL HWY SUITE 200
Address:
City: BOCARATON State: FL
Zip:334132 Phone5G7•24sa713
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 rules, bylaws or antl 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
"YARNING 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 JOB SIZE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN A ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signatu Owner/ Lessee/Contractor as Age t for Owner
Signature ontractor License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OFSTwoIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisa9 dayof ARnI 20Jg by
this'Ildayof W1 266 by
BRASILINO FlLIPE
JAMES MICHAEL NOLE
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification x
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
"'.,. JADE LEE KREST
Il_ —ice �o�._ JADE LEE eESf
_=oxr
Nota" Public rK Florida
( azure of Notary iili �I �[8te ofa orma M GG 261884
ignature of Notary Public- Arid mission # GG 261884
oTF`;' My Comm. Expires Sep 25, 2022
or s�.% My Comm. Expires Sep 25, 2022
Commission No. GG2 Bonded through INotary Assn.
Commission No. OG 2B1Baa Bonded ou National Notary Assn.
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