HomeMy WebLinkAboutBuilding permit app ALL • MUST BE COMPLETEDOR • TO BE ACCEPTED
Date: 1 • 1 Permit
RECEIVED
F T_ q r: 1 i� n •-
Building Permit Application
OCT 3 i .
Planning♦ • 1 •I - - 1
Building and Code Regulation Division ST. Lucie County, Permitting
ff Virginia Avenue,Fort PiercL-FL 94-982 A
• • / • i Commercial • .
sidential
PERMIT APPLICATION FOR-' To Select.from dropbox, click arrow at the end of line
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Legal Description: 35 34 40 GOVT LOTS , (OR
Property Tax 1 11 1111 111
Block5ge Plan Name: •
Project
Setbiacks Front
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DISCONNECT AND REMOVE TWO EXISTING PUMP CONTROL CABINETS FROM SITE. INSTALL NEW QUA,L
CABINET
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NEW CABINET, REINSTALL " ■ TERMINATE ORIGINAL "TERAL CONDUCTORS FR•
CAN TO PUMP CONTROL CABINETS. NEW SERVICE CONDUCTORS ARE NOT INCLUDED.
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Shutters OWindows/Doors
ElGenerator Roof
Total Sq. Ft of Construction; SCI.Ft.of First Floor:
Cost of Construction-, Utilities: Sewer3,933.00 ■
Septic •
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•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 BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: pity:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
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 failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Agent Signature of Con ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF sT.LUCIE
The for Ding instrument was acknowledged before me The forgoing instrument was acknowledged before me
this .day of IDCJbbe , 204&Lby this W day of.CeI`Abege .. ,20,Q,by
I
CHRISTOPHER W.RICHMOND CHRISTOPHER W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
gnature of Notary Public-State of Florida) lgnature of Notary Public-state o Florida
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. 0e32 &W tslpahycstftofMwids Commission No_ GG3E851 Not[ B4 icstatcaFlatda
Deana M DHlley � Deana M ppiley
• Nly Commtesion C3G 326515 My Commtas GG 320516
a
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
I