HomeMy WebLinkAboutBuilding Permit Package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION T
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B Iding P APPI t
Plannin and Development Services
Buildi`ng and Code Division oesi en ia
2300Virginia PierceFL 34982
Phone : 2 - 3 Fax :, 2 - 8
PERMIT APPLICATION FORI.:
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Phone No dow
E - Mail :
Faill i t T*Itle Holder nextd 'IfferentE - Mail
fro the OwnerI '[ sted L*icense
If value of construction is � r RECORDEDNoticeCommencement is require
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If HAVC 'lsmore, RECORDEDNoticeCommencement i required .
SUPPLEMENTAL CONSTRU
CTION LIEN - LAW -INF .5, .. '
.. ..........
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�� �DESIGN ER/ ENGI NEER ., _ Not Applicable MORTGAGE COMPANY : Not Applicable
Name : N ame :
Address : Ad d ress :
Ci t y : State : City : State :
Zi p : Phone Zip : Phone :
FEE SIMPLE TITLE HOLDER : _ Not Applicable BONDING COMPANY : Not Applicable
Name ' Name .
Ad d ress : Address :
City : City :
Zi p : Phone4b
: Zip : Phone :
OWNER/ CONTRACTOR AFFIDVIT *, Application is hereby made to obtain a permit to do the work and installation asindicated ,
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 Associati" on 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 paying twice for
improvements to your property . A Notice o ommencement must be recorded in the public records of St .
Lucie County and posted on the jo S1 e before the first inspecti on . If you intend to obtain fnanctng,i0
consult
with lender or an attorneybefore co encin work or recordin our Notcei of Commencement .
Signatu of Owner/ Lessee/Contractor as Agent for Owner Signature f Contra ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � � �Cu,_ COUNTY OF__
Sworn ( or affirmed ) and subscribed before me of Swo " to ( or affirmed ) and subscribed before me of
h sical Presence or Online Notarization v Physical Presence or Online Notarization
this day of AF 1 6 2024 by th is d a y o f SEEEEMVIM� 2024 by
Name of person making s ement , Name of person making st ement .
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature f Notary wo
( Signaturg of a( � Notary Pu iSta OT ri a Notary Public State of Florida � �ya9� � �i� Notary ubGc State of Florida
Commission No. � �' Margare gEM ' tepare Mar aret Montepare
My Corc� mission. �G> 214990 Commission No. :_ � My C�tQ�ion GG 214990
� a ��` Expires O�S/05/2022 � a nc#� Expires 06/05/2022
ow
R EVI EWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
CO MPLETED
ev . 5/ b/ Zu
A
THE SLTNRISF. CITY
r .� FORT PIE CE .
BUILDING DEPARTMENT
asp"
TYPICAL LECTRICAL RISER DIAC' RAM
NOT TO SCALE
` For temporary construction power pole and single-family service change only ,
contractor must provide their own riser diagram drawing for all other work . *
Florida Building Code, Electrical 107.3 .5 shall apply
1 . Wiring; Services ; Feeders & Branch Circuits ; Over Current Protection ; Grounding; Wiring Methods & Materials ; GFCI
2 . Equipment
I Special Oc cupancies
4 . E ine rgen c y S ystems
5 . Communi cation Systems
6 . Low Voltage
7 . Load Calculations
8 . Design Flood Elevation
Underground
Overhead
1 . Size Service :
2 . Conductor Size : 1 0 L"J CU ❑ ALUM
3 . a . Meter Main : ❑
b . Meter Can Only: L�J
M
Grounding Electrode Conductor Size
O #6 CONSTR r ON TYPE :
d#4
Residential
Other Mobl" Ie Home
❑ New Installation
— Old Installation
Dual Electrodes or Test Require - ------ - -------- .. ... 11 .. ...... ---
100 NORTH US i , FORT PIERCE, FLORIDA 3495illl,) � (OFFORTRERCECOM • TEL: 772. 467 . 3000 • FAX : 7724467. 3849