HomeMy WebLinkAboutBUILDING PERMIT r-
ALL APPLICABLE NFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: � Permit Number:
� 1
- Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine
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0PQF_p ll`•RPR��Y:'EINT LO,CATll3Nr - -
Address: 0(fEAN NON �1 iv NSA I FArkl .57
Legal Description:
Property Tax ID#: o Lot No. q
Site Plan Name: Block No.
Project Name: bP1 t'0lVb1 A NbS
Setbacks Front Back: Right Side: Left Side:
DETAIC�Q Df_S�RIPTIOIV (3P 1�Il�f�� -- � -
CM OKkV PL_F ro�. 1J�1 0C_F/C C1706-C)11
C0N$TRUCT�N t-N GRM TICI
dclitional work to b e e orme under t k permit—c ec a apply:
OHVAC 13 Gas Tank Gas � Shutters Piping _� El Windows/Doors
Electric El Plumbing Sprinklers F]Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ ( ( � Utilities: Sewer[]Septic Building Height:
OiNNER�'L�S�E�. . , - 'CQNTRACE3R; . -
Name LOWS S !9 i MM,54 M AC 464, Name: A121 uUP, r -"CL►"`'1 A-Jll
Address: -_!�. prllJ� _ Company: kXUAA-TF R1CR-1 �iN�n,AC7 N�ldr'
City: C.IJS�n� . .._ _.State:L". Address: 71b 6gl0olii I Pam. �--
zip Code: 3L4 57 Fax:
City: vP,l L.vGr+t~ State: �L
Phone No. 7 -- g7oV_7 % zip Code: 5 Fax:
E-Mail: Phone No. 77c -v'70 -57-'>S
Fill In fee simple Title Holder on next page(if different E-Mail: 0CV-r>r"1eq P, A07T NE7
from the Owner listed above) State or County License: kC 000 30-7 a
I#value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Nat Applicable BONDING COMPANY: TNot 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 is in conflict with any applicable Horne 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 your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the.first inspection- If you intend to obtain financing,consult with lender or an attorney before
commeg work orpecording your Notice of Commencement.
Sign ure of own Agent/Lessee Signa re of Con ctor/License Holder
STATE OF FL IDA " STATE OF F RIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The fo oing instrument was acknowledged before me
this ay of�-�.t .20LZ by this �� day of ,20/yby
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(Name of pe on acknowledging) (Dame of person acknowle ing)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State4fNoricla)
Personally Known . OR Produced Identification personally Known v�____DR Produced Identification
Type of identification Produced Type of Identification Produced U�11i31if�11H
Commission No. F�Y�S'f>,.� *g�c � GCLIO �fi�, Commission No. FFO 5fkvok
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221
REVIEWS FRONT i0liUNG '� JPEp'OR PLANS VEGETATION SEAM # is2 COUNTER f iJf W �F " REVIEW REVIEW REVIQ'- ab� V-.'
DATE
RECEIVED , ;>ARr . : �,C`��`i arBlilllit��4'���
DATE ►�14
COMPLETED
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ACCURATE ELECYRICAL CONTRACTING,INC.
7300 GULLOTTI PEACE
PORT ST.LUM,FL 34952
772-978-9171
CELL 772-370-5755
FAX-375-2854
DCVRANC a) TT.NET
IEMPbP,AeY PALE.
1S0 AMPS ELECT.
METER W 1 Sty AMP �
MAIN DISC & ;S6 AMP ETE _=
CtR
2° RGC # �
EMPTY CONDUIT 1 # 4 TW CU IN 1/2`
TO F.P.&L,
TO COLD WATER PIPE
SERVICE FROM
TRANSFORMER GROUND WIRE TIED TO STRUCT. (), --A- ` / �6P4
STEEL IN FOUNDATION.
GROUNDING ELECTRIC CONDUCTOR MUST BE
CONNECTED TO,. OUTSIDE RE-BAR W MIN NO
PLASTIC UNDER RE-BAR 20 FEET NEAREST OUTSIDE
OF FOOTING 'NEC 250.52A (3)
ELECTRICAL RISER N.T.S.