HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED.FOR APPLICATION TO BE.ACCEPTED
Dater Permit Number:;- 'at �0 O ,
Building. Permit Application
Planning-and,Development Services
Building and,Code Regu lotion Div islon C0111t11C'CG9� X °RSldeilti.al
2300 Virginia Avenue,Fort.Pierce FL 349$2
Phone:(772)4624553 Fax-(772)4624-578 C80G Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROtlEMENT LasCATIaN
Address: (}QanaP At►e
PropertyTax'ID 4:, 2312-144 0003-000-8 Lot No:
Site Plan Name: Peterbilt
Block No.
Project.Name:.^Peterbiit Walli Sign-'"Peterbilt'
E3ETAIL�D�DESCRIPTION QF WC1RK Y Y �,
' Install new wall-sign �-
New Electrical Meter Second Electrical Meter (Affidavit required)
,
x
,CCINSTRUCTION INF4RMATIQN•
Additional work to be performed under this permit -check ali;that apply;
_Mechanical _Gas Tanis _Gas Piping _Shutters _Windows/Door Pond.
_:Electric _Plumbing Sprinklers +Generator _Rodf Pitch
Tota($6. Ft,of Construction: .I a7 is _ Sq. Ft.of First Floor:. NAB .
Cdst of Construction:$ 1025.00. . Utilities: NA Sewer. NA Septic Building Height:
22.67"
OWNERILESSEE
Name Palm,Property Mgmt Inc. Name, Thomas Menshouse
Address: 944 SW Squire.Johhs company: Trademark Signs LLC
City: Palm City=, State: FL Address: 9051 666n-Rci Ste F
Zip`Code .34990, Fax: City: Deerfield Beach State:F
Phone No. . E- Zip Code': 38064 1 Fax:'732-481'2821 .
Ma l Phone No .732-26 1004 x..101_. . _.... .-..
rkslc�nlic :.
Fill.in fee simp Ie title Holder on next page'(if:different E-Mail A corn -. .-
from the Owner listed above) State or Countyr License F5f200190
If"value of construct`con is 2s00 or-more,a RECORDED Notice of Commencement is required. :5 (
:.if value of_HAVCas$7,500 or more,a RECORDED Notice.of Commencement is required. J �—�
SPpLEMMENTAGCONSTRUCTION LIEN LAW INFORMATION { z
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DESIGNER/ENGINEER:
MORTGAGEtOMPANY
Not A plicable- : x Not Applicable
_ p
Name. :Mordoch;Engineering Jere;Murdoch
Address, 2 Hummingbird Ct.
Address: .
City Howeli State W. City,;
Zip:.07731 Phone.87.3-67."215: . Zip: Phone. _
FEE'SIMPLE'TITLE HOLDER'; X_Not Applicable. BONDING COMPANY. x Not-,Applicable
Name:.- -- _. . _ _ . ._. _ . __._..__ _. Name: - --
Address Address:.
City,. City.
Zi'p: Phone: Zip Phone:
OWNER/`CONTRACTOR AFFIQVIT:Application Is,hereby made to obtain a:permit to 1dolhe 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.ggranting a permitwill authorize'the permit holder to build the subject structure:
which conflicts with.an applicable NomeownersAssoclation rules;bylaws or,and-covenants that may restrict or prohibitsuch*
structure.Please.con"su�t'with your;Homeowners Association and,review your deed for any restrictions which may apply.
In:considerationzofthe;graniing of this requested permit,,I do herebyagree that I will,inall,respects,perform the work
in.accardance with;the.approved:_plans,tke,Florida Building Codes and St..Lucie County Amendments:
The followirig building permit applications are exempt from undergoing a full concurrency.review.room additions,,
ascessorystructures,swimrning-pools,,fences,.walls;signs;screeniroon"s,and accessory uses to another non-residential>use
WARNING TO:OWNER:Your failure to Record a Notice of'Commencement may result in paying twiceldr.
Utprovements,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 mtend,to:obtainfinancing,consult ;
with.lender or an attor.ne` before commencin .work or:_recardin our.Notice of Commencement.
Sign re of'Owner/:Lessee/ ntraceC�-as Agent for Owner
�R_}9,a�-New Jersey
COUN OF Ocean
Sworn o(or affirmed)>and subscribed before me of X. :Physical.Presence or Anline Notarization
this IL day of September` 2021 by
-Thomas M nshouse _
Name of,persori'making.statement. StfSRN ALISQN R01.L5
St�*Eo,
iY0TAl3YPU81.KOFNEWJEitSEY
Personally Known X OR Produced'Identification- ws t COMM 1431094'
Type of I ntkfication Produced tiF��E�s MYCOMMf55lONEXPI 08174=
($I nattYe of Notary Public State,df'Fle 1 6)
Commission No.,Z,(4 3 7 t%cH .. _(Seal)
'REVIEWS FRONT` ,ZONING SUPERVISOR PLANS VEGETATION 5EATURTLE ' MANGROVE;
CpkJNTER REVIEW REVIEW REVIEW REVIEW; REVIEW REVIEW'
DATA
RECEIVED
DATE
COMPLETED