HomeMy WebLinkAboutBuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 2465 Brocksmith Road
Property Tax ID #: 2320-501-0024-010-4
Site Plan Name: Brocksmith
Project Name: Brocksmith
DETAILED DESCRIPTION OF WORK:
Permit Number:
Building Permit Application
Commercial Residential X
Build standalone 200 AMP service for agricultural well
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
—Mechanical _ Gas Tank — Gas Piping Shutters
Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2275
OWNER/LESSEE:
Name Joseph Crespi
Address: 2465 S Brocksmith Road
City: Fort Pierce, FL State:
Zip Code: 34945 Fax:
Phone No.
E-Mail:
— Generator
Sq. Ft. of First Floor:
Utilities: `Sewer _Septic
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Donald B Green
Lot No. 11
Block No. 2
— Windows/Doors
— Roof Pitch
Building Height:
Company: Don Green Electric
Address: 1305 W 1st Street
City: Fort Pierce
Zip Code: 34982 Fax:
Phone N0772-418-5739
E-Mail dongreenelectric@gmail.com
State or County License EC13007447
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable Name: MORTGAGE COMPANY: e Not Applicable
Name:
Address: Address:
City: State: City:
Zip: Phone Zip: Phone: State:
FEE SIMPLE TITLE HOLDER: _)-o Not Applicable BONDING COMPANY: 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 Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conlict 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, 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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
1'11 H YOUR LENDER OR AN ATTORNEY BEFORE RECORDINCAFQUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY Of COUNTY OF
The f going instrument was acknowledged before me The f aing instrument was acknowledge before me
this T day of —�, 204 by this day of �� 2� b
Name of person making statement.
Name of person making statement.
Personally Known 1�0 OR Produced Identification Personally Known' OR Produced Identificati T eWnititflication.., Type of Identification
ProAced
(i at re of Notary Public- State of Flor a } 4 (Si n to e C IRE WELA D
Commission N ? y I IR D fi Commission #FF448M
ion #FF Commission N My Commission Ex i
My Commission E Tama! 5, 20�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION TURTLE MANGROVE
DATE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
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COMPLETED
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