HomeMy WebLinkAboutBuilding Permit ApplicationBuilding 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 X
PERMIT APPLICATION FOR: Electrical
i
PROPOSED 11V1PROVEMENT LOCATIuOP44N.-
address: 903 echo street
legal Description: WHITE CITY S/D 09 3.6 40 N 105 FTOF S 235 FT OF W 194.46 FT OF E 219v46,FT I
222 (0.46 AC) (MAP 34/09S) (OR 4020-141)
Property Tax ID #
site Tian Name:
Project Name
Setbacks
;3403-5U2-0270-000-0
t Back: Right Side: Left Side:
DETA,,1LED,DESCRIPTION OF WORK:
Replace 100amp service with 200amp service.
LICONSTRUCTION INF:00MATION:
Additional work tobe-ve16fme��er �
[:IHVAC
Electric
Gas Tank
tis permit—thee
]Gas Piping
Lot No.
Block No.
k a appy:— ----
Shutters Windows/Doors
I I Sprinklers I Generator
Plumbing
�� ire
Total Sq. Ft of Construction:
Cost of Construction: $ 060
OWNI,ER/LESSEE.
Name SSE
Address:
City: FoP
Zip Coae:
hien f rostra
i echo
ierc�— e
rax:
=.2249194
SFt. of First Floor-@.
Utilities:
SewerSeptap
ic
1:1 Roof
Building Height:
Roof pitch
CONTRACTOR:
----- -- _Willi am -Collis
Name:
Company: U011]s eC CIC andair conffitwion-inc
State:-
E -Mail;
Fill in fee simple Title Holder on next page (ff different
from the Owner listed above)
Address,
C.,ty: por
Zia Cooe:
.7T3 swfondura r
NN" -sainf,ucie
Phone No,
11sc
EMWN'laile, co
P-:
g aii-com
State or County License
State.
If value of construction is $2500 or more,, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable J MORTGAGE COMPANY
Name:
Address.-
City: State:
Zip: Pho'ne-
rtt
b1hAPLE: TI-I'LIEHULUI:K: _Not Ap,piiCaoie
NameIt.
Address:
City:
Zip: Phone:
_Not Applicable
Name:
Address:
City: State:
Ze M
ip: Phone:
BUNUINC3 LUMPANIfe
Name.
Address:
City:
..�
ZPip: Phone. -
_Not Applicable
()%At KI 9:0 1 rnfiJTD A rTe%D it. izC1 n111Te
■
r %10 � 9 " a a � 4 � a � 6 % 0 a 0 a a � �r # % r r 4b r r r 6..� r # � 1 � & r a 6 @.i � � 1� � � r r r � � 1 �l r r it � ^ d � I 6 1 �.+� M.+r 1 I � 1� 4 rr %+ +�
ramify that work or installation has commenced prior to the issuance of a per it.
St. Lucie County makes no representation that is granting a permit will authorize theermitpbalder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and cavenants that ay 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. Lucre 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
V
mprovements t,o 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
commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was ark
this I dayof
nowledge
Mame of person making statemen
Personally Known � QR Produced Ic
. .
ype �r wiare��:��carison
Produced C 1 _ �L
(Signature 'o
Rev. 8/2/17
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF4c:-1- LIJC 1
--
The for3ving Inst ient was acknowledged b
this � day of 20�
Name of person making statement
Personally Known OR Produced Iden
Ypt!ui �u�i�ior* 4''a
r 111 d«url
Produced 1 _ C� l
Notaivy Public- State of Florida j
orea:CD
Cn
U
UL.sc:'
CD
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