HomeMy WebLinkAboutBuilding Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ____________________ Permit Number: _____________________
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ________ Residential ________
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: __________________________________________________________________________________________
Property Tax ID #: _________________________________________________________________ Lot No.__________
Site Plan Name: __________________________________________________________________ Block No. _______
Project Name: ______________________________________________________________________________________
DETAILED DESCRIPTION OF WORK:
_________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
__Mechanical __ Gas Tank __ Gas Piping __ Shutters ___ Windows/Doors
__ Electric __ Plumbing __ Sprinklers __ Generator ___ Roof __________ Pitch
Total Sq. Ft of Construction: ___________________ Sq. Ft. of First Floor: _________________________
Cost of Construction: $ _____________________ Utilities: __ Sewer __ Septic Building Height: __________
OWNER/LESSEE: CONTRACTOR:
Name__________________________________________
Address:________________________________________
City: _________________________________ State: ___
Zip Code: ______________ Fax:____________________
Phone No.______________________________________
E-Mail:________________________________________
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:_________________________________________
Company:_______________________________________
Address:________________________________________
City: ______________________________ State:____
Zip Code: ________________ Fax: __________________
Phone No_______________________________________
E-Mail__________________________________________
State or County License____________________________
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.
X
FL
X
Electrical &Fire Alarm
9600 S.Ocean Drive,Jensen Beach,FL 34957
4502-620-0000-000-7
NCI-FL Empress Condominium
Direct replacements of light fixtures,receptacles,disconnects,load side conduit.
Install new smoke detectors,in lobbies and machine rooms long with relays and monitor modules for elevator recall.
49,450.00
Empress Condominium Association Inc.Gregory Greseth
9600 S.Ocean Drive Nichols Contracting Inc.
Jensen Beach 508 Olney Sandy Spring Rd.Ste.200
34957 Sandy Spring MD
(908)268-2061 20860 (561)812-3286
empresscondo@gmail.com (301)529-8041
msaavedra@nicholscontracting.com
EC13009689
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Name:
Address:Address:
City: State:City: State:
Zip: Phone Zip, Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable B0NDING 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.
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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 St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full conciirrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another nan-residential use
"WARNING TO OWNER: YOUR FAILURE T0 RECORD A NOTICE OF cOMMEl`lcEMERT MAY RESULT IN YOUR PAYING
TwicE FOR IMPRoyEMEi`iTs TO youR pfropEfITy. A NOTicE OF COMMENCEMERT MusT BE ftEcoRDED AND