HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: r.�-
p ° -' 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:
PROPOSED IMPROVEMENT LOCATION: �__'VM, ,
Address:
Property Tax ID #: 2312-144-0003-000-8 ��- \� �/ " Lot No.
Site Plan Name: Peterhilt Block No.
Project Name: Peterbilt Freestanding Sign
I' DETAILED DESCRIPTION OF WORK:
Install new freestanding sign and connect to existing sign circuit
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond
_)L Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 151.2 Sq. Ft. of First Floor: NA
Cost of Construction: $ 3350.00 Utilities: NA Sewer NA Septic Building Height: NA
OWNER/LESSEE:
CONTRACTOR:
Name Palm Property Mgmt Inc
Name: Thomas Menshouse
Address: 944 SW Squire Johns
Company: Trademark Signs LLC
City: Palm CMtY State: FL
Address: 2051 Green Rd, Ste E
Zip Code: 34990 Fax:
City: Deerfield Beach State:FL_
Phone No. E-
Zip Code: 33064 Fax: 732-481-2821
Mail:
Phone No 732-288-1004 x 101
Fill in fee simple Title Holder on next page (if different
E-Mail s eatrademarksiccinlic cam
from the Owner listed above)
State or County License ES12001909
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 IWIDIR IATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Murdoch Engineering - JereMurdoch
Name:
Address: 2 Hummingbird Ct
Address:
City: Howell State: NJ
City: State:
Zip: 07731 Phone 973-570-8215
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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.
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 commencine work or recordine vour Notice of Commencement.
Signature Owner/ Lessee/ rac Agent for Owner
STATE OF FLeR}BA-New Jersey
COUNTY OF Ocean
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 10 day of September 12021 by
Thomas Menshouse
Name of person making statement.
Personally Known X OR Produced, Identification
Type of I ificat!on Produced
f'
(Signature of Notary Public- State of
""OFIaw
Commission No. 2 L13i0014 (Seal)
2437094
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SEATURTLE
MANGROVE
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