HomeMy WebLinkAboutBuilding permit , updated , 2 units infoAll APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
COUNTY
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
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #: ti 1a . ' " Lot No.
Site Plan Name:
Project Name:
I CONSTRUCTION INFORMATION:
Addition ork to be performed under this permit —check all that apply:
echanical Gas Tank Gas Piping Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1
I jD 0
OWNER/LESSEE:
Block No.
Windows/Doors
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Name c`
v
Address: -
City: tA State:
Zip Code: Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:
Com pang:cck
LtL City:
State:-- Zip
Co G Fax: Phone
No-J; r
L E-
Mail State
or County License - it
value or consEruction Is mGsuu or more, a RECURDED Notice of Commencement is required. If
value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
1- System 2.5 Ton 14 Seer Payne System 8 kw Heater.
2. System 3 Ton14 Seer Payne System 10 kw Heater. Both Unit in the same location.
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 BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: 1 City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and instailation as indicated.
I certify that no work or instaliation 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 structurewhichisinconflictwithanyapplicableHomeOwnersAssociationrules, bylaws or and covenants that may restrict or prohibit suchstructure. 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENUR OR AN ATTORNEY BEFORE RECORDING YOUR NPTICEOIF COMMENCEMENT." Sig
as Agent for Owner se Holder STATE
OF FLORIDA STATE OF FLORIDA COUNTY
OF COUNTY OF k bN The,
orgoing instrument as acknowledged before me this
l6 day of _ 20 by i
Name of person making statement. Personaily
Knowa,_ OR Produced Identification Type
of Identification Produced
Signature
of Notary Commission
No. NOUN
pic state of flofida Wanda
Mercado MY
G ion GG 136119 ExpifasW2421
J
The
forgoing instrument was acknowled ed efore me this
day of 2 y Name
of person making statement. Personally
Known R Produced Identification Type
of Identification Produced
Signature
of Notary Public Note Public State of Florida Commission
No. -i M.v p13B1 t6 REVIEWS
I FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER
REVIEW REVIEW j REVIEW REVIEW REVIEW REVIEW DATE
RECEIVED
DATE
COMPLETED