HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 2 l 01 r-0 9 62
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Building, Permit Appl'scation
Planning and Development Services ' /
Building and Code:Regul'ationDivhion Commercial I/.. _ Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone::(772)462-1553 Fax:(772)462=1578
PERMIT APPLICATION FQR:
3P1ROFflSED (I1/PR ?UEIVINT 1C?CAT3Ny
Address: 4890 KINGS HWY
Property Tax ID#: 1313-232-00017000-4 Lot No.
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Site Plan Name: Block No.
Project Name- AUTOZONE SIGNAGE.
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dETA[LED DESCRtPTiONQF WORM
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REPLACE 2 (TWO)TENANT PANELS ON EXISTING DOUBLE SIDED.FREESTANDING SIGN SIGN A NORTHWEST
New Electrical Meter Second Electrical.Meter.. (Affidavit required)
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Additional work to be performed-.under this permit—check allthat 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:$ 600 Utilities:; —Sewer _Septic Building Height:
01WINER/LESSEE _`s CONTRA
Name NORTH KINGS HIGHWAY LLC
Name: ERIC.D.ROSS
,Address: 975 N Miami Beach.BLVD .
Company: MCNEtLL SIGNS
City: :NORTH MIAMI BEACH State: FL Address; 17144 HUNTINGTON PK.WY
Zip Code: 33162 Fax: City: BO.CA.RATON. State: FL,
Phone No. Zip Code: -33496 Fax:
E-Mail; P..hone No
Fill in!fee simple Titte_Holder on next page(`if different-
from the Owner listed above) State or County License: EC13007916
If value of construction is 2500:or niorea,RECORDED Notice of Commencement,is required.
If value'of HAVC is 0,500 or'more a RECORDE6 Notke'of Comrnenceinent is required.
1.
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iJESIGIVERJENGINEER: _Not Applicable MpRTGAGE'CQMPANY: _Nat Applicable
Name: _.. .. . Name. .._.
Address:" Address:
pity:. State City:
Zip: Phone:
State:
Grp: .. . Phone _ _ . - � .
_,Not Applicable BONDtN6, PANY:
fEE SIMPLE:TiTLE HOLDER.; 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 mstallat'ion as-indicated. -
1 certifythat:no wot.k,or installation;has-commenced:o for to the issuance-of a permit:,
St:facie Coun, makes no representation:that is granting a permit will authorize the permit holder to build theaubject structure
which is in con ict with"airy applicable Home Owners Association rules,bylaws or,and covenants that may restr!ct or prohibit such
structure:Please consult with your Home Owners Assoclation and review-your deed far:apy restrictions which may apply.
In consideration of the g'ranting-of this requested permit,i do hereby agree that'will,in all respects,perform-them rk
in'accordance with'the,approved plans,the Florida'Budding Codes and St,Lucie Gourity;Amendments.
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The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swirriming pools;fences;wails,signs;screen'rooins and accessory uses,to another_r"ton-residential use
WARNING TO t3WNER,Your failure=to Retard a!Notice of 6nim1.encement may result'in paying twice for.
improvements to your property A Notice of Commencement must be'recorded in'the:public:reCords of St
Lucte,Count and`posted On:the�obslte befoi`e the;first rnspection if you intend to obtam,flnancing,`cc�risu,v
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-with lender.or,an attorne before commencin ;wOrk;or-recordin our Notice of Comrr. mernent.," _.
Signatureof Owner/(eSs..ee/Con or as Agent for Owner `
STATE OE FLODa►,
Cf�UNTY OF
Sworn to(or"affirrried);andsabscribed before me of, Physical Presence or Online.Notarization
thisrda of 2Q .,by "
Name of person making_statement.
Personally Known ,OR Producedldentification
Type d"eritificatron Produced
Signatu[e of Notary Pubkc Sta#�of Florida) - �"'"
��ry .
MY'�s CANAN J 'KANJO
z �� Notary Public State of Flarida
Commission N.
_ (Seal �. M1Ay Corti ion#,H, 45Z29.
a�3 ss n,mi ,o Expires
°" Se f®rhbar 22; 7Q24.
P
ry
REVIEWS FRQNT ZONING SUP.ERVlSOR: PLANS. VEGETRTION SEA TURTLE MANGRQUE
GOUlVTER REVIEW REVIEW REVIEW REVIEW. -REVIEW: REVIEW
DATE -
RECEIVED
CC1ffVTPLETED-