HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE -INFO MUST BE COMPS ?D FOR APPLICATION TO BE ACCEPTED
Date: f l I `` �°� - Permit Number:
SCANNED
By
St. Lucie County
Building Permit Applic t!
Planning and Development Services . Permitting- Departmer
Building and Code Regulation Division
230011irgln' Avenue, Fort Pierce FL34982 St..L_ucie County, FL
Phone: (772),462-1553 Fax: (712) 462-1578 Commemkil X Resl. e
PERMITTYPE: ELECTRIC CHANNELIETTER SIGN ON. RACEWAY
PROPOSED IMPROVEMENT LOCATION:. r
Address: 6645 US1 PORT SAINT LUCIE, .FL 34952 .
3415-707-0002-0004.
ProperfyTax ID,#: Lot No.
Site Plan Name:. Block No.
Project Name: ACENTRIA INSURANCE
DETAILED DESCRIPTION OF 11VORKc eu
NOV 14.2019
O
CONSTRUCTibkINFORNIATION: q
Additional work to be performed under this Permit- check all that apply:
_Mechanical.. _Gas Tank _Gas Piping _Shutters _Windows/Doors
X Electric _ Plumbing Sprinklers _ Generator . Roof " Pitch
Total Sq. Ft of Construction: - Sq. Ft. of First Floor:
Co stof Construction:,$.1060 Utilities: "_Sewer _Septic Building Haight:
OWNER/L'ESSEE ••
... , f
CONTRACTOR.
Name jv FIhMA RM1 fV LLl'
Name: 'ALAN E•MARCUS '
Address: aA01 S UJi/
Company: SIGN ITI INC.
Address: 639 NW. BAKER RD. :.
City: P}V] g�(M State: r
Zip Code 33.E g3.. - Fax +lD/ - MI. dam@ <orn .
city;. STUART State FL .
Phone No. SDI ' 2.50 4139
Zip Code: 54994 _ Fax:
Phone. No.772-092-2866
E-Mall: T trE2M�iiU%dSY,-)5eb � /t'1_ -
Fill in fee simpieTitle Holder on, next page I If different
E-Mail MADSIGNTISTOSIGNMNC.COM
from the Owner listed above).
State or County License 4859.
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.
r
SUPPLEMENTAL CONSTRUG1._.1 LIEN I LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: CHRI5 LANGLEY
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 1200 N FEDERAL HWY, #200
Address:
City: 60CA RATON State: FL
Zip: 33432 Phone 561-246-3713
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: QI& FLOrida, aedljU LL&
BONDING COMPANY: _Not Applicable
Name:
Address: 5 1I y�y
Address:
City: �r T
Zip: 0 Phone: Bl-99d — 713V
City:
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 Count makes no representation that is granting a permit will authorize thegermit holder to build the subject structure
which is In conflict with any applicable Home Owners Association rules, bylaws or an 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 Uimll) TO OBTAIN FINANCING, CONSULT
WTIH YOUR LENDER OR. AN ATTORNEY BEFORE RECORDING YOUMNOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contras or/License Holder
2hde Tana
STATE OFfk@RH)k
STATE OF FLORIDA
COUNTY OF t0royid/t 7a!
COUNTY OF /" 2Ti A-) ,
The forgoing instrument was acknowledge_ d before me
The for oing instrume t was alcknywledged before me
0. 768
this _11 day of �G}oYJei✓ 207 by
this day of N J 20P by
I idmet area , member,
&
Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personall own OR Produced Identification
Type of Identification
Type denfifica 'o / -G
Produced
Prod ced N
(Signs o. otary_Pub
-
( ature f ota Public -St get F)?ErtVndx3•wwo)6W
JEA E ST.GERMAIN -
Public(SBakie of Rhode Islan
Commission No.
nn1 9561ku�,puolsslwwo� a=
ommission.No. . !0" epualj,o ai a, nd tie�oR ��
My Commission Expires
f V31J]W 01Ay0
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Rev.2/7/19