HomeMy WebLinkAboutPERMIT APPLICATION SIDE ELEVATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
97.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address:-L5IIC"� 61f-J'Ln0&t- kON\)O
Property Tax ID#: 3271 - GO 006b -j— QCC 0 Lot No.
Site Plan Name: Block No.
Project Name: % Fel -\J
New Electrical Meter Second Electrical
Additional work to be performed under this permit -check all that apply:
Mechanical
_ Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Const( rf.—$,
_ Gas Piping
Sprinklers
Shutters
_ Generator
Windows/Doors Pond
Sq. Ft. of First Floor:
Utilities: —Sewer,i_ Septic.
Roof Pitch
Building Height:
it Value of construction Is z5uu or more, a KECOKDED Notice or commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name C7
Name:
Address:
Company:
Address: C (o
6 = nCity:F'-i- C '
iegC5 State:
Zip Code: ' '' Z Fax:
City: JGP` %t C 5 i State: L
Phone No.
Zip Code: L real Fax:
Phone No <f^,,I— LAA -z' 13 1'3
E -Mail:
Fill in fee simple Title Holder on next p�f different
E -Mail *M ) J i
State or County License
from the Owner listed above)
it Value of construction Is z5uu or more, a KECOKDED Notice or commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
/n have agreed to be
the Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at 6 6162kne61- Q�
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
2S�1-1
COUNTY CERTIFICATION NUMBER
�yy
State of Florida, County of r„V1,
The foregoing instrument was signed before me this d'aJy of '7
24
by
who is personally known _Pr has produced
State
imna
Revised 11/16/2016
COUNTY CERTIFICATION NUMBER
.State of Florida, County of47� s ��
The foregoing instrument was signed before me this day of
2Q,f., by rz
who is personally known *or has produced a pNs.11 111 tttirrr,,,
as identification. _-/;7 ��� .•nMM1n [.. .r'
of Notary Public
�in