HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
IC
Date: ` 1 I Z•_7 I Z I Permit Number:
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
V.11
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: '710S U-t0.r Tar- A -y-e
Legal Description: l,aV&. d CarVc UTA.+5- LoO - 19
Property Tax ID #: l30 (- (a 0s- V «lo' 000 •
LotNo.
Site Plan Name: L2Y-4V)WA "Pbr K.
Block No. _
1
Project Name: I> ab.-LA C4L ft t
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to orme under tis permit-c-c ec<a apply: _ _ - - ----
— ---
(ene
In
OHVAC LJ Gas Tank Gas Piping _Shutters ❑ Windows/Doors
_Electric ElPlumbing ❑Sprinklers Generator Roof
Roofpitch
Total Sq. Ft of Construction: Scof First Floor:
cFtj
Cost of Construction: $ 500 Utilities: LJ Sewer OSeptic Building Height:
OWNER/LESSEE:
CONTRTRAACTOR":
Name NNwe.4
W. trnxm.c -0GJ
Name:
t "
Address: 710T' b -ftA- ?1c K frVt
Company: C_nfLr UA �tlnGkv��i
\tti
City: For"- `p'%Yj' CJL State:
Address: si t L W
City: _KL
State: FL
Zip Code: a S( Fax:
Phone No.
Zip Code: 74 T O Fax:
E-Mail:
Phone No. 2.1 - rt 0
Fill in fee simple Title Holder on next page ( if different
E-Mail: L140 a 4"e-- -C to C_ W,
C iAnR+ `
State or County License:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
_ Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:_ -
Zip: __ - - _ _ Phone:
Not Applicable
_Not Applicable
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
Im rovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
foe the first inspection. If you intend to obtain financing, consult with lender or an attorney before
orrencing yro►k or recording your Notice of Commencerr�n�
as
STATECOUN Y OFORIDA S—T, I-�C� COUNTSTATE OY OFORIDA
The forgoing instru ent v4as cknowledged before me
thisndayof Z.�, r , 20tt—by
person
The forgoing instrum t wa.1 a knowledged before me
this day of _ f 207_(_ by
Signature of i5VWry Public- State of Florida ) Wature of NotarykbA5 c- State of Florida )
Personally Known VL OR Produced Identification Personally Known _1GOR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No., S I)
Notary Publb Sfau of Fbrida ry Public State m Fbriea
_�—Ghddlne Craveiro
r No Comrtnofart offki3Y y%W1iJ2J:%1y1P0c
tirteGravtaroRevised 07/15/ 1 u+' M"an�23cs 07/iw8 U23 355792
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS