HomeMy WebLinkAboutBuilding Permit App - Wall SignAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
91r.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 4890 KINGS HWY
Property Tax ID #: 1313-232-0001-000-4 Lot No.
Site Plan Name: Block No.
Project Name: AUTOZONE SIGNAGE
DETAILED DESCRIPTION OF WORK:
INSTALL ILLUMINATED WALL SIGN TO READ "AUTOZONE"
G(ll'I P * +1 ,P �i1S�r1 � � �°f,��� �g C - �r�►r I C��'!r°c�iGtn �,, /
New Electrical Meter _ Second Electrical Meter
I CONSTRUCTION INFORMATION:
(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: $ 1900 Utilities: —Sewer _ Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name NORTH KINGS HIGHWAY LLC
Name: ERIC D ROSS
Company: MCNEILL SIGNS
Address: 975 N Miami Beach BLVD
City: NORTH MIAMI BEACH State: FL
Zip Code: 33162 Fax:
Phone No.
Address: 17144 HUNTINGTON PKWY
City: BOCA RATON State: FL
Zip Code: 33496 Fax:
Phone No
E-Mail:
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
It vawe Ur construction is c�uu or more, a KtLUKUtu Notice of commencement is required.
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:
Address:
City: State:
City: State:
Zip: Phone
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.
1 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.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF rkm h.�ll P.0
Sworn to (or affired� and subscribed before me of Physical Presence or Online Notarization
this day of SJ✓t 4 201� by
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type tification Produced
(Signature of Notary Public- State of Florida )
}}� n' C
Commission No.IA� `i5 L�L� (Seal)
CANAN J. KANJO
_° ` , Notary Public -State of Florida
Commission # HH 45229
My Commission Expires
September 22. 2024
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