HomeMy WebLinkAboutWO 10995 - ADDITIONAL PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: 2004-0313
Building Permit Application
Commercial X Residential
PERMIT TYPE: DIRECTIONAL SIGN
PROPOSED IMPROVEMENT LOCATION:
Address: 5100 TURNPIKE FEEDER RD FORT PIERCE FL 34951
Property Tax ID g: 1301-615-0063-000/4
Site Plan Name: PNC - TURNPIKE FEEDER
Project Name: PNC - TURNPIKE FEEDER
Lot No.1
Block No. 171
DETAILED DESCRIPTION OF WORK:
REMOVING AN EXISITING OPEN / CLOSED SIGN AND REPLACING WITH AN ATM SIGN - THIS IS = FOR =
NO CHANGE IN ELECTRICAL
CONSTRUCTION INFORMATION:
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: $ 100.00
Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name HARBOR FEDERAL SAVINGS AND LOAN
Name:TERRAN FREEMAN
Address: 130 S JEFFERESON ST SUITE 300
Company: CM FREEMAN
City: CHICAGO State: _
Zip Code: 60661 Fax: N/A
Phone No. N/A
Address:471 LAKE BENNETT CT
City: LONGWOOD State: FL
Zip Code: 32750 Fax: N/A
Phone N0407-339-6660
E -Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailSTEFANIEC@CMFREEMAN.COM
State or County LicenseCBC1261647
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: _ Not Applicable
Name: cmESTEa gcoTT
MORTGAGE COMPANY: _ Not Applicable
Name• m
Addre55:411133RD ST EAST
Address:
City: WMDEWON State: FL
Zip: M212 Phones 1�139
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name• wA
BONDING COMPANY: _Not Applicable
Name• m
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 anscovenants 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 II YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FMST WSPECTION_ F YOU INTEND TO OBTAIN FINANCING, CONSULT
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Signature
'FLORIDA I STATE OF FLORIDA
OF 'bC JCOUNTYOF
The forgoing Instrument was acknowledged before me The f oing instrum nt was acknowled d before me
this I"S day of ( <:\ 2o�O by this
� 20)by
Name of persorrinaking statement. Name of person making statement.
Personally Known V, OR Produced Identification Personally Known V/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Commission No.
REVIEWS
RECEIVED
RUTH E PEREZ
Notary Public (3iig"of Florica
Commission, N GG 942412
My Comm. Expires Apr 18, 2N2,
COUNTER I REVIEW I REVIEW
Public- StatVof Florida
(Seal)
PLANS I VEGETATION I SEA TURTLE
REVIEW REVIEW J REVIEW
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