HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO -MUST BE C:.,.,^.3LETED FOR APPLICATION TO- BE ACCEPTED
Date'
Permit. Number:
Building Permit Planning and Development Services APPIICaV Lucie Cod nty, Permit
ting
Building and Code Regulation Division
Commercial Residential
2300 Vrginia Avenue, fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)'462-1578
PERMIT APPLICATION FOR:
pR'
ys �\,h
Address:
Property Tax ID #:
Site Plan Name:
Project Name:
New electrical Meter Second, Electrical, Meter
i RITi
SEP 0 2020
� - :v,rrw.ms a :Tn?T3 �S�'+7:w'F -'.�. • Y''in.avi;�s,-
Additional work to be performed :under this permit - check all that apply:
__Mechanical — Gas Tank x
7-' Gas Piping _ Shutters _Windows/Door
_ Electric _ Plumbin
g _Sprinklers _Generator '
Total Sq. Ft of Construction: _ Roof
�t of Construction: $ s tg� Sq. Ft. of First Floor:
Utilities: Sewer Septic
I Lot No.
Block No.
.
_ Pond
Pitch
Building-Heig v
Name.. ---- cm;r,ti.`.fairtiX7I tufi�ita�La�>th`�iV.^•f [l{�. ��C{n`xatyv•a TaE. �tT
�'. ^ - `i�..�kti:SxE_riV1 :Sf�,.�u1S•�+� �`'�`.:y�ti�'^,y; r� +'�'> �l -_
Address. 2 `�f Z. S'e. n o,'►n e c' "Name:�l rl y G j R i
City:_ JDoP' S� Luo� e , Company. Ply �►� h; h �'.H,
State; .::r� _
Zip C ' ` ` Address:
p ode: 3c, ��' �- Fax:
Phone No./12 2 Q - Z City:
E-Mail: Zip Code: "J�i�` �j�_.� Fax:
Fill in fee simple Title Holder on next page (if different Phone No �� 2. Cj 7.3
E-Mail
from -the Owner listed above)
State or County License Ic l= C. I
If value of construction is 250d or more, a RECORDED Notice of co
value of HAVC is $7,500 or mmencement is required.
If . more, a RECORDED Notice of commencement is required. � ed.
Cci,l'
State:
a r )
374
Zip: Phone: installation as indicated.
to do the work and installa
'ONTRACTOR AFFIDVIT: Application is hereby. made to obtain a,pf
rmit ce-of a permq,t
t
" --h' iubject stru pre
OWNER/ C.. Ct
a
or or'installation --it.,holdertobul ze the yem I rr'�y rcertjf�th�t,nq�W k .,Lt,gfAntgpmliwill authorize estrictor prohibit such
-and,covenahts that
Lucie coun es,no represeniaiion t - rsAss6diationr rules,bylaws or may apply -
St,., L k bid. Home Owneyour deed .for any restrictions which
conflict any applicz Ass ew
which ict sultwith your Home owners, ociation and revithe work
stru�dre.'PIe4se con that I Will; in all respects,, perform
quested permit I do hereby agree Amendments.
In consideration of 'the granting of this re
in• accordance with the approved Pl�ans, the'Fl6rida guildi.ng-Codes and St. Ludlie County
oRcurrency review: room additions,
undergoing a full c another non-residentiaI use
The following, building permit applications are exempt from undei accessory uses to a
ng �Wjce for.
swimming pools, fences,,Walls, signs, screen rooms and
accessory $tructure!, sult - JA.PP Of St
, , '11' e- 'LiblitteccTcls
OWNER:Nourfailive to Retord a 61otice, of Commericernent may rer
'U.st� e
�d6d,,Inl
"Comehr b consult
WARN our TO: cement M 'cO A
Wp. A jjjce'6f, '61' n P '9
n-ts�to.your pr6p'erty; Notice U te
Am
Lucie on jobsftebief the k
pn.Ifproverne pdste ore , mitfce of,CommencemCounty and, d Y before commencinwoor recording
with le
Agent for owner
as Ag
rTLess Lessee/Contractor �ntra ctO �r
Signatu'r#p' �e
FD
STATE bf.
LO A
C.0 . ONTY, OF
ibed before me of
Sworn to (or affirmed) and subscrrization
Physical Presence yr — online Nola ,
Th_js:!S� dby of 20-n by
6%\jp-.k -,w- sk, -
Name of person making statement-
ication
Personally Known ----OR Produced Identification
Type of Identification
. - 'Produced L;
(signature of Nota
Commission No-q
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
of Florida ) .
*141"
Slgnaturej�lj n or/License Holder
STATE OF FLIDRIDA
COUNTY,OE_�_S,
Sworn to . (or affirmed) and subscribed before me nation
f
Physical Presence or —online, Notar
20 by"
this :---ot -\ djy'6f
_Name of person making statement.
Personally Known __OR Produced Identification
Type of identification
Produced) l
of N
ission No.
SUPERVISOR PLANS I VEGETATION
FRONT REVIEW REVIEW
COUNTER RE -VIEW REVIEW
16,2020
SEA TURTLE, I MANGROVE
.AEVIEW REVIEW"