HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO Must BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: cJ -10 -2-I PermitNumber:
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I: LTng"nrng -zi;--i Building Pe rmit ApplicationP:au::::: aa:dd =::'°Rpngmu;an:,:enrv#v;sS,on commerctia| _ Restldentilal i
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
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propertyTaxlD#: 3NLalo~lc)a-oOwS-ocso-a LotNo. 3 iSiteplanName:L\\CLi>BlockNo.
Project Name:
DETAILED DESCRIPTION OF WORK:
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New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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Additional work to be performed under this permit-check all that apply:
£Mechanical _GasTank Gas piping Shutters Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers Generator Roof Pitch
Total sq. Ft of construction: Sq. Ft. of First Floor:
Costofconstruction: S lls1.o0 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:CONTRACTOR:
Namelr. ~ _ I .\ { a.Si Name: uleJhtl\ t\c\aa.\\IL\
Company': Gtor`e+a+ Ahr \rv_Address: Raso SanA i) `ha fir .
city: PeiL State: T`Address: 3ulq S`i.i Oallh a:l| Sf.\^nD\ All
Zip code: 3qqs9 Fax:city:TDci\v^at`+ ` state: I(
Phone No.112,-q\8 -a``u Zip code: 3qqqo' Fax: |1Z-2,3Z.~/ //f
E-Mail: Ll `tl . tie:B A ` cL\coa . L a n Phone No 111-2J32r 11 IU
E-Mail \^fo®_ hamal£7rihc . ([]hFill ln fee simple Title Holder on neat page ( if different
State or County License CAC_r`Sesopfrom the Ovmer listed above)
lf value of construction is Z500 or more, a RECORDED Notlce of Commencement is required.
lf value of llAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation
I certify that no work or installation has commenced prior to the issuance of a permit.
improrem€nts tjo youfr Brope,rty.. A Notife .of Co.mn!.encsment must be iecorded
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as indicated.
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ln 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
in the public records of St.
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ner(jfede€e/CbntfactoTasAgentforownerRIDAA^`Jir s:::o:k#£#:::ffiif%&H,0:fty^
¥p#i::iaF:eTeendc)ea:rdsubscribedbeforemeof_OnlineNotarization ¥np#i::,aF:eTeendc)ea:rdsubscribedbeforemeofthisJfidayofTat-°n'!n:o¥itabr;Zationthis:!gL_dayof i. h 202. by
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Name of person making statement.Name'of person making -statement.
PersonallyKnown `/ ORproduced Identification Personally Known V' OR produced Identification
Type of Identification Type of ld entification
Produced Produced
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PERVISOR PLANS VEGETATION SEATURTLE MANGROVEWSFRONTZONING
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COUNTER REVIEW EVIEW REVIEW REVIEW REVIEW REVIEW
DATERECEIVED
DATECOMPLETED
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