HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \ ao��� SCANNED Permit Number:
BY RECEIVED
St. Lucie Countv
• Building Permit Applic tiori Ov 2 0 C?9
Planning and Development Services ST. Lucie County, Permitting
Building. and Code Regulation Division
2300 Virginia Avenue, Fort Pierce.FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: Sign
PROPOSED INPROVEMENT LOCATION:
Address: 6556 S US 1
Property Tax ID #: 3415-503-0004-000-5
Site Plan Name:
Project Name: Son Rise Church of Christ
DETAILED DESCRIPTION OF WORK:
Install 4' x 4' Non Illuminated Aluminum Sign Panel on
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
_ Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction: 16
Cost of Construction: $ 350
Lot No.
Block No.
_ Gas Piping _ Shutters -Windows/Doors
_Sprinklers Generator _Roof . Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer ,_Septic Building Height:
,OWNER/LESSEE:
CONTRACTOR:
.Name TCBA Inc:
Name: James Hart
Address:6560 S US 1
Company: Glomaster Sign Co., Inc.
City: Ft. Pierce State: _
Zip Code: 34952 Fax:
Phone No.
Address:4141 Bandy Blvd.
City: Ft. Pierce State: FL
Zip Code: 34981 Fax: 772-464-0718
Phone No 772-464-0718
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail signs30@bellsouth.net
State or County License ET0000157
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _ Not Applicable
N a me: John J. odando Name
Address: +e5 Old R dge Rd. Address:
City: Macon State: GA City: State:
Zip: 31211 Phone 478-731-5394 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip:
_Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signatur of Owner/ Lessee/Contractor as Agent for Owner
Signature of ontractor/License Holder
STATE OF FLORIDA ��pp 1
COUNTY OF .fit • l� s[ ,�
STATE OF FLORIDA `
COUNTY OF ST •1 .fic f
The forgQ .ng instrupm_ent was acknowledged before me
this �'iiay of 1V � V 20 \q by
The forPP,,pping instrument was acknowledged before me
thisdXay of N \k) 20_E by
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S CtVir�C \yG ,r�
Name of person making/statement.
Personally Known ✓ OR Produced Identification
Name of person making st tement.
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.9/26/18