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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION.TO BE ACCEPTED Date: SCANNED Permit Number: ©S$� BY RECEIVED ;t Lucie County • ■ JUN .2 6 2019 Building Permit Application Permitting Department Planning and Development Services St. Lucie county Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMITTYPE:Wall Signs PROPOSED IMPROVEMENT LOCATIONi_ Address: 10981 S. US 1, Port St. Lucie, FL 34952 Property Tax ID #: 3414-501-6210-400-9 Site Plan Name: Gardens Plaza Project Name: Benjamin Moore Lot No.10 Block No. 3 (•DETAILED DESCRIPTION,OF WORK,> r as 1EF. WaN5o, `CONSTRUCTION INFORMATION �:� '�� 'x t"' �Y 'F'• :�^�" ' * ;� '^�"� x -v�.-tip �" �"' '° '� Additional work to be performed `under this permit— check all that apply _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors C1-cw Yol ✓Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 2r / 7S _ Generator _ Roof Pitch Sq. Ft. of First Floor: 1. Utilities: _Sewer _Septic Building Height: OWNER/LESSEE �>`, _ _ CFI ^CONTRPCTOR:" "�` r a, h�� NameMondo Properties Name:Jay Berry Address:4237 Rigels Cove Way Company:Jay Berry Signs, Inc. City: Jensen Beach State: _ Zip Code: 34957 Fax: Phone No. Address: PO BOX 491620 City: Leesburg State: FL Zip Code: 34749 Fax: 352-460-0751 Phone N0352-805-4050 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail permitting@jayberrysigns.com State or County License ES12000309 If 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. JUN/26/2019/WED 03:09 PM JEr °arry Signs, Inc FAX No,352-5311-7094 P. 001/001 I'IQNYCIN 51Ptl f�IENiALrC7NStRII1 iY LAV1�IfCiR11fTJClN 12 DESIGNER/ENGINEER: Name:MmowawEw F Not Applicable MORTGAGE COMPANY: Name; Not Applicable Address:resswe amasu�,oa Address: City: ���r Zip:32025 Phonens-=usma State: .� City; Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY: Name: ,Not Applicable 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 Countyy makes no representation that is granting a Ppermit will authorize the permit holder to build the subject structure which Is in conflict with any applicable Home Owners Associatlon 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 9uilding 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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTD OBTAIN FINANCING, CONSULT WITH YOUR LENDE&0R AID AVftNEY BEFORE RECORDING YOUR lyOT10E C MMENCEMENT: as Agent STATE OF The forgoinginst mentwas acknowledged before me this (2a day of r A v 204 by Name of person niakingstatelnent. personally Known 1,-' OR Produced Id ntificatic Type of Identification > Produyed i/ l t _299 commission REVIEWS I COR NTER I REVIEW I REVIEW ing instrul�ment was acknowledged before me day of�kLkn V 20l4i by Name of person Personally Known x OR Produced Type of Identification Commission Notary Public -State of Florida) (Seal) PLANS I VEGETATION SEATURTLE REVIEW REVIEW REVIEW REVIEW