HomeMy WebLinkAbout2902 Avenue S PermitAIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:oa "\3.LC Permit Number
Build ing Permit Application
Planning and Development Services
Building and Code Regulotion Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-1.553 Fax: (772) 462-L578
Commercial
PERM IT APPLICATION FOR:F,cot,rr-!
PROPOSED IM PROVEM ENT LOCATION :
Address LqA? hdQ-flrio S Fr,x"t UiQrr ,EL ,3+qi+"1
Residential X
Property rax rD #: L*C\"- 50 \ - DC a+ -ifCC - 1 Lot No._
Block No.Site Plan Name Su'.,nrru Qc,t,rve-
Proje ctName: SninCtq i Rt-vnOl
I
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical IVleter
CONSTRUCTION I NFORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
_ Windows/Doors
jnoof 4 l,'z
Pond
Pitch
Total Sq. Ft of Construction Sq. Ft. of First Floor:
Cost of Construction ,5
- 7 t *!fi(\ Utilities: Sewer
- Septic Building Height: Cl ++
qi'ev
OWNER/LESSEE CONTRACTOR:
Name
Address
City:Ptrr t St. \-\{UL State: fl-
Zip Code:
Phone No.
9AQct,1 Fax
llZQ'1r \0fi l+ ts
E-Mail
Fill in fee simple Title Holder next page ( if different
from the Owner listed above)
Name: |.,\ -Y\r\n ,\ nn rCrj
Company
Address:
E
City:Port S+ Liiut
Zip Code:
Phone No
Fax:
c
E-Mai
State or County Lice CIJ-
o
stare: Fi-
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: .Ir wot Applicable
Name:
Address:
StateCity:
zip:Phone
MORTGAGE COMPANY: { IUot Applicable
Phone
State
Name
zip
Address
City:
FEE STMPLE TITLE HOLDER: X trtot Applicable
Name:
Address:
zip:Phone
BONDING COMPANY:
Name:
Zip: _ Phone:_
X Not Applicable
Address
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.
5t. Lucie Countv makes no reoresentation that is srantins a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv applicable Home Owiers Asiociation rules. bvlaws or and covenants that mav restrict <ir orohibit such
structure. Please consult with your Home Owners Association and review'your deed for any restrictions uihich may a6iply.
ln 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 5t. 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. lf you intend to obtain financing, consult
before commenci work recordi Notice of Commencement.
Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
coUNTYor St, Lura-!-
Name of person making statement.
Personaliy Known
-
OR Produced ldentification X
Commission No.
P*ffi
&\
Signature
ic- State of Florida )
Type of
Ruth Eunice Cardero
NOIABil)PUBLIC
STATE OF FLORIDA
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@kenaeljoidea
STATE OF FLORIDA
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Name of person making statement.
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