HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
f ....
V Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 3e982
Phone: (772)462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:TemDOrary Power Pole
Address: 7840 Saddlebrook Drive Port St
Property Tax ID #: 3321-501-0011-000.3
Site Plan Name:
Project Name:
Temporary Power Pole
FL 34986
New Electrical Meter _ Second Electrical Meter.
Lot No. 11
Block No.
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters windows/Doors _Pond
>jElectric _ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: 3
_Sprinklers _Generator _Roof Pitch
Sq. Ft. of First Floor:
Utillifes: _.Sewer Septic Building Height:
Address: 175 SW 7th Street #2410 Company:;.�_ w `'o' '` I1
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City: Miami State: Address:. State -FL
Zip Code: 33130 Fax: city:���
Phone No. 772-218 8477 Zip Code: Zak Faz: �—
E-Malhusmackl(I)hotmalLoom Phone No
Fill In fee simple Title Holder on next page ( if dWerent E-Mail aO�-
fmm the Owner listed above) State or County License �f \��b7fli 3•
if w1u of mnst ueuon Is BN or more. a RECORDED Notke of Cmnmencamgo is required.
if value of HAVC Is $7,500 or more, a RECORDED Notke of Commamxanent is requ r .
Name: — • • --- -
Address:
City. State:
ZIP Phone
FEE SIMPLE TITLE HOLDER: x
Name.• —
Not Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Installation as Indicated.
t no work or Installation has commenced prior to the Issuance of a permit.
unto make representation that is granting a permit will authorize the permit holder to build the sublect structure _ nn make
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 fagure to Record a Notice of Commencement may resuB 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. If you Intend to obtain financing, consult
STATE OF FLORIDA
COUNTY OF
ry me or person
Personally Know
Type of Identific
Produce&
to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Ih ical Presenceor Online Notarization „Iefl thyslcai Pres ce r,_ Online Notarization
day of 2020 by J�Pp
dgt11C�
making statement.
n� OR Produced Identification
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t ubllc- FIdi9�(tndra Jade Davis
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FRONT ZONING SUPERVISOR PLANS VEGETATIN, j9 SE��fRM l ' WAIGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
STATE OF FLORIDA
COUNTY OF
Commission No.
REVIEWS
NOTARY PUBLIC
Sf;�iOF FLORIDA
Comm# GG367501
t s d y of 2020 by
Name or person making statement.
Personally Known � OR Produced IdenUfkatlon
Type of Identification
Produced
(Signature of —Notary PuPu c- State o orada
� Cassan ra adz Davis
CommissionNo. s NOTARY�yJC
TATE O FLQQRIDA