HomeMy WebLinkAboutBuilding permit application 2801 S. Brocksmith RdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
Building PertlAppl* a t a
on
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort pierce FL 34982
Phone: (772)462-1553 Faxl(772)462-1578
Commercial Residential
PERMIT APPLICATION FOR:
'PROPOSED - - , , IMPROVEMENT LOCATION: _ I
Address: 2 3C[_-5Pft.W__M . `�-��i�tr3 P�C�.
Property Tax I D #: 1 �L`%[; • ;eft e - i� is
i
Site flan Name; N A
Project- Name: NjC-1,
DETAIL-ED DESCRIPTION OF WORK:
_ Re+�'i��r'� e�►Stir�c� a,�,tn�� �ct��le5� �x3�t€ � !tea atcx--
AVk
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— chick all ghat apply:
Mechan-Ical _Gas Tank ,Gas Piping _Shutters
Electric
T, Plumbing
Totai Sq. Ft of Construction.
Cost of Construction:$
OWNER/LESSEE:
N arr, e
Y� }
13.1
� t �� �
address.,
Citya
t—A C)t
Z'I'p C o d e: 3.14cl 4(1%.".) Fax:Phone No. `Gllue- ;jCiLj--
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fit
E-Mail:
_. t. (_ �j R
F111 in fee simpie Title Holder on next page ( if different
from the Owner listed above
_ Sprinklers
Generator
Sq., Ft. of First Floor:
Block No., `1��
Nh.
in��TG19
Windows/Doors Pond
Rood Pilch
Utilities: _Sewer _Septic
CONTRACTOR:
State:
Building Height:
Name: }��`�
Companyw
a,
Address.,
City:
��
State: ,
Zip Code:
-11 z? -
Phone No jxI- 5q5'��
E-Mail
Sfiate or County License
If
vaiue
of
construction is
2500 or more RECORDED Notice of Commencement'
is required.
If
value
C i $7,500
or more, a RECORDEDNotice of Commencement 'is required.
Not Applicable
Name..
Address;
City& State:
Zip: Phc)nta-
FEE SIMPLE TITLE HOLDER:
SUPPLEMENTAL CONSTRUCTION LIEN LAW --
INFORMATION
EI ■M A" i Mm. at s IF —
utbIcdNtK/ENGINEER:
No Applicable
Name:
Address:
pity:
dip: Plane;
■
r
MORTGAGE COMPANY:
Not Applivable
Name;
Address*
City: State:
Zi P* Phone:
BONDING COMPANY: _Not Applicable
Name:
—,-
i Address:
City:
Zip:Phone:
OWN -ER/ CONTRACTOR AFFIDVIT* Application is hereby made to obtain a hermit to do the work and installation as indicated.
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 �� build the subject structure
which is in conflict with any applicable Home owners Association rules, bylawsor and covenants that may restrict structure. Please consult with your Horne Owners Association and reviewyour deed for are restric�t�vns which m� °apply,
p�hibitsuch
y Y
In consideration of the granting of this requested permit, I do hereby agree that { wiil� in al) 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 cancurreney review: roam additionsj
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to an�th�r nr�n-r�sident�al use
wHrcrvuvta I OWNER: Your failure to Record Ira a N�r�ro rn%s ,,.,,.,,e.,..e,.,,..,a ........ ___..� :_ __.._ _ _
.-.-. ,., •••.�.,... v..v�:���.��r����t 111tiy ICaU14 t11 �dj/lilg xwICE Tor
improvements to your property,, A Notice of Commencement must be recorded in the public records of St,
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lerldpr or an attorney before commencing -work or recordi our Notice of Commencement.
Signat&,e,hf Contractor/License Holder
STATE OF FLOW
COUNTY OF
Sworn tv (or affirmed) and subscribed before me of
_ Physical Presence or Online Notarization
rh fs � any of �_�.,�, _ �, 2024 by