HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 4890 KINGS HWY
Property Tax lD #: 1313-232-0001-000-4 Lot No.
Site Plan Name: Block No.
Project Name: AUTOZONE SIGNAGE
DETAILED DESCRIPTION OF WORK: I
ELECTRICAL CONNECT FOR WALL SIGN
New Electrical Meter
Second Electrical Meter
(Affidavit required)
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 500 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name NORTH KINGS HIGHWAY LLC
Name: ERIC D ROSS
Address: 975 N Miami Beach BLVD
Company: MCNEILL SIGNS
City: NORTH MIAMI BEACH State: FL
Zip Code: 33162 Fax:
Phone No.
E-Mail:
Address: 17144 HUNTINGTON PKWY
City: BOCA RATON State: FL
Zip Code: 33496 Fax:
Phone No
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail CHRISTINA@MCNEILLSIGNSFL.COM
State or County License EC13007916
If value of construction is 2500 or more, a RECVRDW Notice oT commencement is requireu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: ^ Not Applicable
Name:
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER, _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 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 paying twice for
improvements to your property: A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 our Notice of Commencement.
o
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Y lffli Q e d&
Sworn too (or affirmed) and subscribed before me of ✓Physical Presence or Online Notarization
thisan day of 'J\ 202-k by
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Id ication Produced
(Signature o Notary Public- State of Florida )
IrII��5Z2a1 ifit +" CANAN J. KANJO
.`aYP,
Commission No. (Seal) =o�P �<<;-;Notary Public -State of Florida
= = Commission # HH 45229
My Commission Expires
September 22, 2024
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev SIZUIZI
4892 N. Kings Highway
Proposed signage- Wall sign 46" channel letters (149 sq. ft.) and replacement tenant faces on two existing shopping center signs
Jacementfaces
IL
Existing Directional sign
4,
MCNEILL SIGNS
17144 HUNTINGTON PARK WAY
PHONE (954) 946 3474 CELL (561)248-5089
Email: rr7wire@gmail.com
State Certified EC130079161
Proposal For: AutoZone #3607
05/1/21
This contract confirms the agreement between Rick Ross Electric, Inc/McNeill Signs and ID Associates on behalf
of North Kings Highway LLC and AutoZone. The parties agree that Rick Ross Electric, Inc has been retained to permit and
install (1) illuminated wall sign and (4) tenant panels at 4892 N Kings Highway, Fort Pierce FL. The total agreed upon
price to complete the above referenced job is valued at $3000 for structural work, and $500 for electrical work. The
property owner has approved this job to be completed on their property. All parties have been provided with letters of
representation, and confirmation.
STATE OF FL IDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me this-W da.
os'RYPU•,, JESUS MANUEL MEDINA
;2. •P=
Notarypubic-Stateofflorida )
• + .= Commissbn#G6083735
• ` My comm. Expires Jun 30, 2021 Q ktkj
9��oFFF aP�e Bm&dira *Nzlia&NaWA--- (Name Of Notary:
Personalty Known OR Proceed Identification 4
Type of Identification Produced F'Z; e's' —
Eric D. Ross (Qualifier)
. t 1t CA, ^-' � -
STATE OF FLWIDA
COUNTY OF VCkIM �' -'�iy,
Sworn to for affirmed) and subscribed before me this / ( ►+, day of �__— 20 2 � , by �•sf
0 ,, CANAN J. KANJO Signature of Nota
-Notary Public -State of Florid
�_ *E Commission # HH 45229
'� My Commission Expires
;;,`,:�`Pa tember 22. 2024
p Name of Nota
Personally Known 'A/ OR Produced Identification
Type of Identification Produced
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 1313-232-0001-000-4
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available
General description of improvements Signage
Owner/lessee AutoZone Inc.
Address
PO Box 2198 Memphis, TN 38103
Interest in property: Fee Simple
Fee Simple Title holder (if other than owner) N/A
4892 N Kings Hwy, Fort Pierce, FL 34951 13/34SI39E
Address
Contractor Rick Ross Electric Inc Phone # (561) 248-5089
Address PO Box 244763, Boynton Beach, FL 33424 Fax #
Surety NIA Phone #
Address Fax #
Amount of Bond NIA
Lender Phone #
Address Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues: (954) 473-5503
Name AutoZone Stores LLC c/o CT Corporation System Phone #
Address Rd Pl t Son FL 33324 V— E
1200 S Pine Island an a
In addition to himself, owner designates See above
Phone #
Fax #
of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F_S., AND CAN RESULT IN YOUR PAYING TWICE FOR AVIPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
CONO&ENCMENT.
r/Lessee, or Olvner's oy Lessee's Authorized Officer/Director/Partner/Manager/ Signature
Laura Beth Myers National Sign Manager, AutoZone Inc.
hh Signatory's Title/Qffice
State of County of d (�!�- Laura Beth Myers
Ac g before me this , day of i 2Q 21 = by
w Hers Il�kno�ln xoifil w)to h'As produced 'T 1 fl5� as identification.
Type or Print Name of Notary
Title: Notary Public Commission Number
` 01- :, ROSALYN FORM HOWWIEID
My Commission Expires
Apra 1, 2025
a� P-