HomeMy WebLinkAboutBuilding permit applicationLJMJ
L �t Amalw
Date-,* 313.0120
PFanning and Development Services
1�
Building and Code Regulation Division
230-0 Virginia Avenue, Fort Pierce FL 434982
Phone*. (772) 462-w1553 Fax: (772) 462-15-78
TYPE.PERMIT�leC�CIC
Il ipi 01
PRE}P{3SEtl.1!ilfPRtlllEtV6ENT�...
MAI*
Address:3434INDUSTRIAL 33 ST
Property Tax I D 1429-501-0028-000-D
Site Plan Name:
Project Name:
Permit Number:
Building P rmit Applicatio
Commercial
Residential
f-DETA1LED, QESCR,IPTION {}F WQRI�:.
upgrade existing 20-0- amp single phase electrical service to three phase 200 amp
service
i s ORMATION.* -
Additional work to be performed under this permit—check all that apply:
_Mechanics! Gas Tank Gas Piping Shwwomhwk_�utters
Electric
_Pbbwh� P1 bing
Sprinklers
Generator
Lot;
Block N.
Windows/Doors
Roof Pitch
Total Sq. -ft Of Construction:Sq. Ft. of First Floor:
Cost Of Construction:
Utilities: Sewer Septic
Building Height: �_
OW'NE,R/LE S-SEE.'.1.
CONTRACTOR,..
ON.
NameW'
alfaby's Fabrications LLC Name;Daniei Stubbs
s 3434 'INDUSTRIAL 33 ST£�ectricAddres LOmpany*S&W
City: Ff.Pierce W coker
State: Address:501
Zip Code* 34946
Fax'City:ioFtL Pierce
Stater
Phone No.77246700111W 34945
zip Code. Fax:
E -Mail: p.hone N47724G4646S
Fits in fee if different E -Mail, danstubbs33@gmail.com Title Holder on next page
I Oft 4 6
from the Owner listed above) State or County License30071
If value of construction is $250Q or more., a RECORDED Notice of Commencement
is required.
If value of HVAC is $7,540
or more, I a RECORDED Notice of Commencement is required.
Ic
'SUPPLE M"-- T �co
�NFC�R�VtATl�i�:
NSTRUCTION"'Ll-EN.- I.AW
blot Applicable
Name.
Address:
City:
State.
Z{pA Phone
FEE StMPi,E TITLE HGILDER;
Not Applicable
Name:
Address -:0
City;
ZIP s
Phone:
MORTGAGE COMPANY,
I% Not Applicable
BONDING COMPANY4 ......Not Applicabl.e
OWN -ER/ CQNTRACTOR AFFIDVlT: Application is hereby made to obtain a perm.
IF to theI certify that no work ori'nstallation has commenced doruance of a permit.
.P
it to do the work and installation as indicated.
con#liet
dKfJwhich is 1r Pton t� is granAssoc{ationirules,
by
horize tandpcflvenants
er to ma`y
d the subjeprohibit
rpn with any applicable Home Owners HomeOwners
laws or that restrict such
structure. Please consult withyour or
and review your deed for any restrictions Which may apply,
In consideration of the granting of this requested permit, I do hereby agree that 1 :1 in all respects,, perform the work
in accordance with the approved plans, the Florida BuildingCodes and StE. Luci County Amendments,
The following building permit appl,catt,fromons are exempt undergoing a full concurrency review: room additions,
ons
accessory structures, swimmingI. pools, fences walls,s, signs, screen rooms and accessory uses to another non-residential use
"WARNING i43 Ol"YNER: YOl1R FAILURE TO RECORD A NOTICE pF fiOM11lENCEMENT MAY RESULT IN YOUR PAYING
TWICE, FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE DF'COMMENCEMENT MUST 13E RECORDED AND
POSTEDTHE ON JnS StTE BEFQREIF YQU tNTENt} TO 0CONSUt.T
THE FIRST IWffH YOUR LENDER OR ANA'�TORf1tEYSTAIN FINANCING,
BEFORE RECORDING YOUR NOTICE OF COMMENCEstFrdT,
PL
X
S'1"'nature of owgierTLessee/C'
ontractor as Agent for Owner
4
COUNTY oF
The forgoing ins#r
this. day of _
41
�k
rent
was
��1 ;' by
- . I I 20 ---?"k
"OMM MaKing statement,
I
Personally Knewn -V elf, pR Produced Identification
Type of Identification
Produced
:ils ori 4popm- Y M 4=M
ignature of Notary Public
Commission N 0. 1%+- Ly
REVIEWS
DATE
REC.EIVED..
DATE
COMPLETED
LWWiPIA—Ma
<
FRONT
COUNTER
o W
��.M R. CUA GE
40 J&
U CA99fi'lon # GG 022076
z
-Expires 00ober 21,2020
-MOOD
Bon&dft.. TrWh�tmn
ZONING
REVIEW
SUPERVfSaR
REVIEW
Signature of Con:
Holder
STATE OF FLUR!A
CO
U
NTY
OF-kc`� t,�.�p E'
The forgoing instmmn t wa
-L..n acknowledged before me
thisdayofN�/�t�(�_2Ly
y
ML
Name of person making ng statement. Wow
Personally Known ✓ OR Produced Identification
Type of Iden#ificatian
Prpduced
r I..ra . . A it fi ;4 .
1gnature of Notary Public- State Florida
lift I&
GommissfonlVo. RAR.CUBBEDG
mrnission GG 0 0
7or,srt ;�:EzpiresQctober2t,2
V.
IrII(A=.
?ngpor a a T= TMY Fal
��1111111111111 M6 4 SE
G A N'PLANSUK I Lt IV
REVIEW REVIfV1l REVIEW REVIEW
W