HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE . FOM STf OMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �'-' I Permit:Number:
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 x Residential
PERMIT APPLICATION FOR: _Electrical-. _
PROPOSED•IMPROVEMENT LOCATION:
Address: 15601 W.,Midway road Ft.Pierce-FL,34945
Legal Description: Adams Arena Electrical Improvement �f!
Property Tax ID#: San Lot No.
Site Plan Name Block No.
Project Name::,,
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION.°OF WORK:
'Wire and install 2 RV outlet boxes on each corner of.building
CONSTRUCTION INFORMATION:
AC10itional workto be gertormed under this permit-check all t=appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers [--]Generator Roof Roof pitch
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4800 UtilitiesSewer Septic Building.Height:
OWNER/LESSEE:"- CONTRACTOR:
Name St.Lucie County BOCC Name: Lawrence Stubbs f
Address:2300 Virginia Ave Company: S&W Electric Inc'
_City: Ft.Pierce State:FL Address: 501 w.Coker Road
Zip Code: 34982 Fax: City: Ft.Pierce State:FL
Phone No.462-6413 Zip Code: 34945 Fax: 464-4273
E-Mail: Phone No.,464-6466
Fill in fee simple Title Holder on next page(if different:• : E-Mail: stuboutelectric@aol com
from the Owner listed above) State or County License: 29.442
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _NotApplicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone:- Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Counter makes no representation that is granting a permit will authorize thepermit holder.to build the subject structure
which is in conflict with any applicable Home 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,wails,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 wjo lender or an attorney before
commencipg work or recordin our Notice-of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Sign tore of Contractor/License.Holder
STATE OF FLORID ` STATE OF FLORIDA
COUNTY OF COUNTY OF � I_
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