HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 2006 - 0280
o Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fire Alarm
PROPOSED IMPROVEMENT LOCATION:
ddress: 3650 Aico Road
Property Tax ID q: 1328-132-0025-000-7
Site Plan Name:
Lot No.
FPL Interstate Solar O ertions Center Block No.
Project Name: p
DETAILED DESCRIPTION OF WORK:
Fire Alarm system for new office building
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator Roof
Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
OWNER/LESSEE:
Name FPL
Address:3650 Aico Road
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
City: Fort Pierre State: _
Zip Code: 34945 Fax:
Phone No.
E-Mail: interstate-solar@fpl.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: Andrzej Ratajczyk
Company: W W Gay Fire Protection, Inc
Address: 2251 Rosselle Street
City: Jacksonville State: FL
Zip Code: 32204 Fax: 904-387-7261
Phone No office (904) 387-7973, cell (904) 759-9526
E-Mail 3Mtajozyk@sciensbuildingsolutions.com
State or County License ECA001417
o vdme or construction is 2500 or more, a RECORDED Notice of Commencement Is regs
H value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:�� AddreName:
ss.z�r+e+es T.�.r. Address.
City: cm..wr State: n City.
Bpi Phonesa-taowv Zip: Phone: State:_
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x
Name: — _Not Applicable
Address. Name:
City:
Address:
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 cemmenced prior to the issuance of a pennR.
St. Wcle Counttyymakes no representation that is granting apermit will authorizne�the rnit hdder to build the wbject structure
snuccture�Pleasetconsult wrthpyour Home Ow�ersnAuo ybanu drrelviewyyour deedf a ynrcs nc[ions awhich a a�ohibnsuch
Inconsideration of the amin of this re nested _ y pp y
in accordance with the approved plans, the Florid Bu lding Codesad St. Luc ietCounity Ame dme^�trPerform the wwk
The following building permit applications are exempt from undergoing a full concurrenty review: room accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residadditions,ential use
WARNING TO OWN
ER. Yourfadure to Record a Notice of
improvements to your property. A Notice of Commencement
Commencement may result In paying twice for
Lucie County and osted on the jobsite before the
must be recorded in the public records of St.
first inspection.
with lender attorne e e commencin work
If you in obtain financing, consult
or recordin otice of Co mencem t.
Signature of Owner/ Lessee/Contra r a t for Owner
Signature of contractor/License Id
r
STATE OF FLORIDA
COUNTY OF a.eW,
STATE OF FLORIDA
COUNTYOF�r
Sworn to or affirmed) and subscribed before me of
x
Sworn to for affirmed) and subscribed before
Physical Presence or_ Online Notarizati
this v day of smwe. 2020 by on
z me of
or Online Notarization
Physical Pr
this +o enesencee
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Name of
Name of Person making statemem.
Name of Person making statement.
Personalty Known x OR Produced Identification _
TYPe of Identification
Personally Known x OR Produced Identification
Type of Identification
Commission
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