HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8116/19 Permit Number: I Lo (N LA
SCANNED
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regufation Division
2300 Virginia Avenue, Fort Pierce FL 34982 1'erolming count"
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Yes Residential St' Luc�e
PERMITTYPE:sign non electric
PROPOSED IMPROVEMENT LOCATION:
Address: 8569 S. US 1 PORT ST LUCIE FL 34952
Property Tax ID #: 3414-501-1904-350-0
Site Plan Name: SEE ATTACHED
Project Name: SPA KING SIGN
DETAILED DESCRIPTION OF WORK:
FACADE SIGN 3/4" THICK ROUTED PVC LETTERS MOUNT ON 1/4" DIBOND
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No.
Block No.
—Mechanical — GasTank — Gas Piping — Shutters —Windows/Doors
— Electric — Plumbing — Sprinklers — Generator — Roof Pitch
Total Sq. Ft of Construction: 203.3 SQ FT
Cost of Construction: $ 2370.00
Sq. Ft. of First Floor:
Utilities: —Sevver _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameKILLAVANEY PROP. CO.
Name: EDWARD LOUDERBACK
Address:2003 CAPTAINS WAY
Company*SIN CONNECTION
City: JUPITER State:
Zip Code: JUPITER Fax:
Phone No 561-876-4326
Address: 10229 SE LENNARD RD
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax: 337-0806
Phone N0335-2441 P
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail SIGNCONNECTIONPSL@HOTMAIL.COM
State or County License4266"6B'
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. 2�5%5
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:PAULWELCHIN
MORTGAGE COMPANY: Not Applicable
Name:
Address: '9uswB'LTmORE ST PORT ST LUCIE
Address:
City: PORTSTLUCIE State: FL
zip: �qm Phonems-98ea —
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _NotApplicable
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or ang 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 PAYIING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INISPECTIION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
re of Owner/ Lessee/Contractor as
STATE OF FLORIDA,,,_
COUNTY OF (J-r—
The forgoing instrument was acknowledged before me
this _[�, day of k( A 9 (.4 C+ 260 by
E� W acd t o i. &jMo o r V
Name of person making statement.
Personally Known / OR Produced Identification
Type of Identification
Signature of Contractor/License Holder
STATE OF FLORIQ� " W
COUNTY OF '.�+ L_t_L ( )
The forgoing instrument was acknowledged. before me
this day of & g -q t.!� jf by
Name of person making statement.
Personally Known �'/ OR Produced Identification
Type of Identification
nd:;2�a Wly', cLtAeu I - � L� a 4--� aj J) "I
(Sighature of Notary Public- State of Florida (Siinature of Notari-Public- State of Florida
Commission No.GC1 lb9xtb Commission No. 6G (Ogg it)
P&,�, State of Fimift State of Flo
.90 A Notary P,U,, NotaryiPuble
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