HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
O COUNTY
Ei !CC
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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
PERMIT TYPE:piumbing
PROPOSED IMPROVEMENT LOCATION:
Permit Number.
Building Permit Application
Commercial Residential v
Address: 2103 BARTOW ST, FT PIERCE, PL 34982
Property Tax ID #: 3402-610-0587-000-4
Site Plan Name:
Project Name:
Lot No. 19
Block No.
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-- check all that apply:
_Mechanical _ Gas Tank —Gas Piping Shutters _ Windows/Doors
Electric 11 Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq_ Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ t `--� Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name WILLIAM HERD
Name:Stoyan Stoyanov
Address:2103 BARTOW ST
Company: EUROELIT INC
City: FT PIERCE State: IFS-
Zip Code: 34982 Fax:
Phone No.
Address: 6129 NW Drophy Ave
City: Port St Lucie State: EL
Zip Code: 34986 Fax:
Phone No772-777-0010
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail eoroelitinc@yahoo.com
State or County LicenseCFC1429089
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: , Not Applicable
MORTGAGE COMPANY: i Not Applicable
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:
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 County makes no representation that is granting a permit will authorize the permit 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, 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
1"11'ITH YOUR LESO R 011? AN ATTORNEY BEFORE RECORDING YOUR NOTICE.OF COMMENCEMENT."
Signature of OwneVILessee/Contractor as Agent for Owner
Signature of Contractor/License Bolder
STATE OF FLORIDA '
COUNTY OF CU C'
STATE OF FLORIDA
COUNTY OF �.
The for oing instru , nt was acknowledgtoAlefore me
this ,,,�
day of , i 20 by
The for oing instru nt was acknowledged before me
this day of _- 1� 20a�ly
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
elignature of Notary Public- State of Florida)
ignature of Nota ` blit- State of Florida )
Commission No''
Commission No. + w " Er* WROA
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ices: Mav
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DATE
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DATE
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