HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR.APPLICATION'TO BE ACCEPTED
:Date: Permit Number.
IL
Building Permit Application
Planning and Development Services
Building and`.Code Regulation Division COCY memi0_I X 'Residential
2300 Virginia Avenue,,Fort-PierceIFC 34982
Phone:.,(772)462'-1553 Fax:(7{72)462-157s: CBDG Funding
PERMIT APPLICATION FOR.
PROPOSED{fMPRO_VENiENT La'CATI(?N
E
Address: 5750 Oronga Ave -
Property.Tax ID#: 2312-144=0003-000-8
__ _ LotNo..
Site Plan Name: Pi4terl iit Block No..
Project,Name: Peterbilf Wall.Sign--"The.Peterbilt Store Fort Pierce
DETAILED DESCRIPTIONrQF WORK
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install new wall sign
New Electrical Meter Second Electrical Meter (Affidavit required)
CNSTRUGTIC}N INFORMATION a
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 T'Roof Pitch
Total Sq.. Ft of Construction: ss Sq. Ft.of First Floor: Na
Cost of.Construction:.$ 1025.00 Utilities: NA Sewer NA Septic Building Height: 22.67'
01NN,L LESSEE
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CONTRACTOR
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.Name Palm Property Mpnit Inc Name:. Thomas Menshouse
Address- 944 SW$_ l&6 Johns v Company:. Trademark.Signs LLC
,City:,.aim City State: -FL Address: 2n51 C,r-PnRd, F
Zip Code: 34990: Fax City: Deerfield Beach. State:FL—
Phone No. E- Zip Code: 33084 1 Fax:732481-2821_
Vaik Phone No 732-288-1004 x 10.1
'Fill in fee;simple Title.Holder on next page(if different. E-Mai{ c�ia(n�+rarl�+ma"kcinriiin rnm
from the Owner listed above.) State or County,License RA1'2001909'
if.value of-construction is 250O,or more,a:RECORDED Notice of Commencement is required.
if'value of`HAVG3s$7,500 or more,a RECORDED Notice of Commencement is required.'
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"SUPPLEMENTAL CQN�STRVCTION LIED LAW INFORMATION
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x .. Not Applicable
N'a me .Murdoch Engineering-Jere,Murdbeh
Name: -
Address: 2 Hummingbird Ct
Address:.
City. State, City: .. _ State:• Howell NJ
Zip, 07731 .. Phone-97-e70e215 Ztp: Rhone..
FEE.SIMPLE TITLE HOLDERi X Not Applicable, BONOIING COMPANY:. x Not Applicable
Name: . Name:
Address: Address:,
City: City:
-
Zip: Phones . . Zip: Phone: _
OWNER/'CONTRACTOR AFF.iT-.Application is:hereby.rnaiie to,obtain a'permit to5do.the worts and insfallatian_as ind-icated
I certify that no work or installation has.coml�nenced prior to-'the issuance of a permit.
St.Lucie County makes no.represen' !on that is-g"ranting a pel mit will authorize the permit holder to build the subject structure
which conflicts with an -ap licable;Horneowners.Association rules;bylaws or and covenants that°may restrict or prohibit such
structure:Please consu�t.w�th your Homeowners Association and revieuv your deed for'any'restrictions which may apply:
In considefatiori of'the.granting.of this,requested permit,I do herebyagree that-I will;in;all respects',perform the work
in:accordance with,the approved:plans;the,Florida Building Codes and St.Lucie:.County Amendments:
1 he following building pe"rmit applications are exempt from undergoing'a full concurrency revlew room additions,
acee"ssory structures,swimming pools;fences,walls;signs,screen roomsand accessory uses to another'non-'residential'use
WARNING TO OWNER:Your faildre to Record a:Notice of:Commencement.may result in paying twice for
Improvements to•your property:A Notice of Commencement must be re•coi r&d in,the publlc.records of St.
Lucie County and posted.on•the�obsite,before fir the st inspection If you intend to obtain financing,consult
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with nder or An attorne0eforecolnmencing work.or.recordin _ ,our Ncitio-of Commencement. .
Sign re;of Owner/Lessee/Contractoras,Agent,for Owner
STATE OF• lzQR•FBA,New JWSey
COUNTY OF .Ocean
Sworn;to(or affirmed)and subscribetl before•me of x ,Physical Presence or!.- ` Online Notarization.
this 1 a day of.September- . o 21 ly
- s
Thomas Menshouse
Name of person,makingstatement.
Persona nown x - OR Produced•lderitificatiom
T.;ype of Ide tification Produced
(Signature of Notary Public-State of fieda ,
Commission No:*ZgS Oru (Seat) c,,, MS��Up��S//A�N��A�LyLSCN',R�`fdr`LS W
'4•y� LOMM: 24370"
�FwJERS�+ MYCQMt1A1551oNEXPIPES8r1/2033"
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAT(0 SEA TURI`LE MANGROVE.
COUNTER; 'REVIEW REVIEW. REVIEW REVIEW; REVIEW 'REVIEW'
R.
DATE.
RECEIVED
DATE
Ca IPLETED
lqv5. 120/21