HomeMy WebLinkAboutBuilding Permit ApplcationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Pp Permit Application
Planning and Development. Services
Building and Code Reguiotion Division A
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 line
PROPOSED iMFROVEMENT LOCA ON
Address:
Legal Description:
Property Tax ID #: q a5— 6c,5-- r Lot No.
Site Plan Name: Stock No.
Project Name:
Setbacks Front Sack: Right Side: Left Side:
DETAILED DESCRIPTION Fll QRK6
,FPL-Ace &xls-Fnl5 01AJ -f2jMS W,trH 3 k6PI.ACE Ik,' i COCAJ
-riz/ s14 cc V) P C'—/0 , R666 _ficc
If j iI/ 1Af G PCCM 60 10 ► a-bD F1MA— C6 Pvu/el
CONSTRUCTION INPORMAT�0,N .
itiona or to e Q orme under t Es permit— check a app y:
��{{ w
L=IHVAC Gas Tank []Gas Piping _ Shutters L]Windows/Doors
ZElectric 0 Plumbing ElSprinklers 0 Generator E]Roo# Roof pitch
Total Sq. Ft of Construction: SgFtj of First Floor:
Cost of Construction: $ % (),Q 0 Utilities: L�I Sewer Q Septic Building Height:
-OWN R/I~EssE
CONTRACTOR:`
Nate
Address- p i Aj-, 6 l
Name: ARTHUR ENGF-LMANN
Company: ACCURATE ELECTRICAL CONTRACTING, ING
f i City: _ cu l% State: 1`�
Zip Code: Fax:
Phone No. 77�-2213- Q5_
Address: 7193 GULLOTTI PLACE
City: PORT ST. LUCIE State: FL
Zip Cade: 34952 Fax:
E-Mail:
Phone No. 772-870-9171
Fill in fee simple Title Bolder on next page (if different
from the owner listed above)
E_Mail: ACCURATEELEC'TRiCPSL@OUTLOOKCOM
State or County License: ECO003072
it value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as inc+icaleu_
I certify that no work or installation has commenced prior to the issuance of a permit_
St. Lucie Countfyl makes no representation that is granting a permit will authorize the permit holder to build the subject structure
swhich is in conct with any tructure. Please consult with your Home Owners Association and review your deed for any restrictio s which may appl habit such
Inconsideration 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 rst inspej�tion. if you intend to obtain financing, consult with lender or an attorney before
rXrk uvork cW recording your Notice of Commencement_
Signature of Ovy#er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20?� by
Name of person making statement
Personally Known /i OR-2mduced Identification
Type of Identification
Produced
(signature of Notary Publi `�o
Commission No.
s*G 137107
REVIEWS FROI11T�i'P °`�••4PERVIS
COUNTER���y • IMF ��`� EVIEW
CIATE 1
RECEIVED
CO M PLEi'
Rev. B/Z/1.7
Signature of
STATE OF FLORIDA
COUNTY OF -�-c-
The forgoing instrument was acknowledged before me
this oZday of 2� 0 by
Name of persorKmaking statement
Personally Known A Ol roduced Identification
Type of identification
Produced
(Signature of Notary
Commission N-
PLANS VEGETATION
REVIEW REVIEW
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