HomeMy WebLinkAboutBuilding ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
gyo LUG- ur
e D Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR: Wall sign
PROPOSED IMPROVEMENT LOCATION:
Address: 5690 Environment Dr. Fort Pierce, FL 34981
Property Tax ID #: 3406-501-0040-000-5
Site Plan Name:
Project Name: Kenworth Of South Florida
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Lot No._
Block No.
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 63.4 Sq. Ft. of First Floor:
Cost of Construction: $ 2400.00 Utilities: —Sewer _Septic Building Height: 16'-3"
OWNER/LESSEE:
CONTRACTOR:
Name MPP Environmental Drive LLC
Name: Joseph Adinolfe
Address: 811 Edwards RD
_
Company: Alternative Sign Group Inc
City: Fort Pierce State: fL
Zip Code: 34982 Fax:
Phone No. 561-722-9272 E-
Address: 10130 Northlake Blvd
City: W.P.B State: FL
Zip Code: 33412 Fax:
Phone No 561-722-9272
Mail: Ricky@asgsign.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Ricky@asgsign.com
State or County License ES12001049
If value of construction is 2500 or more, a RECORDED 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:
Name: Easy Seals
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 1200 N Federal Highway
_
Address:
City: Boca Raton
Zip: 33463 Phone 561-722-9272
State: IFIL—
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 attornev before commencing work or recording vour Notice of Commencement.
ignatur of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Palm Beach
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 5 day of Nov , 20 21 by
Joseph Adinolfe
Name of person making statement.
Personally Known X OR Produced Identification
of Identification Produced
(Signature of Notary Public- State of Florida)
CHANTEL M ADINOLFE
Commission No. Seal Notary Public - State of Florida
(Seal)
say Commission M GG 918591
�oF�°` My Comm. Expires Oct 7, 2023
Eonded through National Notary Assn,
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Rev 5/20/2-1