HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \0\.°\SCANNED Permit Number;�a�Da05
�.-. BY
t' St. Lucie County RECEIVED
Building Permit Applicat on OCT 0 8 ?019
Planning and Development Services
Building, and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial X Residential
PERMITTYPE: Sign-- Non -Illuminated
PROPOSED IMPROVEMENT LOCATION:
Address: 7115 S. U.S. Highway 1
Property Tax ID M 3422-211-0010-000.6 Lot No,
Site Plan Name: Port St. Lucie -Plaza Block No,
Project Name: We Rock The Spectrum Kid's Gym
DETAILED DESCRIPTION OF WORK:
Stud mount acrylic logo to building facade. Logo is NON -illuminated
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical
_ Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: ,
Cost of Construction: $ 1995.00
_ Gas Piping
_ Sprinklers
_Shutters —Windows/Doors
_Generator —Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building. Height; 20'_-
OWNER/LESSEE:
CONTRACTOR:
Name Wes Bolitho
Name: Jane Snell
Address:7115 S. US Highway 1
Company:JS-1 Construction DBA ASAP Shutters
City: PSL State: _
Zip Code: 34950 Fax:
Phone No.321- 480-9049
Address:3611 Cocoplum Circle
City: Coconut Creek State:_
Zip Code: 33063 Fax:
Phone No 954-562-4443
E-Mail: wesbolitho@outlook.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ka es=&
State or County LlcenseCGC 1507781
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.
COM
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTETO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING) 6 R NOTICED COMMENCEMENT."
of Ownerf Lessee/Contractor as Agent for Owner
STATE OF FL
COUNTY OF
The fo going instruryry�1ent was acknowledged before me
thisQdayof S2Q:f-- 20_aby
)Ca'NE saEG(_
Name of person making stat ment.
7__ _ --
Personally Known
Type of Identification
Commission No.
MY COc9AISSION tl FF 924340
ExR1RES:OCI W5,2019
State of Florida )
(Seal)
STATE OF FLORIDA?
COUNTY OF
>n
The forgoing instru ent was acknowledged before me
this ay of 20 by
�� N�fn1E� L
Name of person making statement.
Type of
L/ OR Produced Identification
MYCMMSSIONCFF924340
MRES:OcbW5,2019
(SignaVdrVof Notary Public- State of Florida )
Commission No. (Seal)
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Rev.2/7/1.9