HomeMy WebLinkAboutBuiliding Permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION ID BE ACCEPTED
Date:
Permit Number`
Building Permit Application
Planning and Dev�lopment Services
Building and Cady Regulation Division
2300 Virginia Avenue, Fort Fierce FL 34982
Phone; (772) 462-1553 Fix: (772) 462-,,'1,578
Commercial Res'ld en
tial
PERMIT APPLICATION FOR: n!s o i ici+ i On _
PROPOSED IMPROVEMENT LOCATION:
Address;
Property Tax I D #-x
Site Plan Name:
Project Name:
AILED DESCRIPTION
RK*0
New Electrictal Meter �___. _ __ . Second Electrical Meter
CONSTRUCTION INFORMATION:
Add itiona I work to be
performed under
this permit —check all
that apply:
Mechanical
V~W� Gas Tank
_ Gas Piping .__
Shutters
Electric
Plumbing
„Sprinklers
Total Sq. Ft of Construction:
Cost of Construction-, $ oCS Is n (--,v)
OWNER/LESSEE:
i Name
� Addre�
city:r �
Generator
61'r-o"
Lot Na.
Block Nod,
•p""7
•y I.. i Y ;.,,..n.u.�w1�
L.IWI ?47P
.-- Windows/Doors T,^ Pon�
Roof pi t (,W- I I
Sq. , of FirstFloor:
Utilities: Sewer � Se t'l C B u i I d i n H e i g h t:
CONTRACTOR:
N a m e ;�,`
Company:
State:a.,Address:
Zip Code: / Fax;_ Cixy; � �
Phone N(. "in4 ---) .. .; n... —� �jj�� Zio Code:
E-Mailp�� S
Fill in fee simp9e Title Holder on next page If
from the Owner listed above)
1
�� ir�Ynmrrnrar�ny��.^I�,�R '
011:. Pho01
L
f eWXP 4h I E
-M ail
State or County License........,
If
vale
of
construction is
2500 or more, a RECORDED Notice of Commencement is required.
If
value
of
HAVC is $7,500
or more,, a RECORDED Notice of Commencement is required.
Stater�
Fax —'
'A
".
6
SUPPLE-KAENTAL CONSTRUCTION LIEN LAW INFORMATiON,V
DESIGN 1,-*,R/EN('j" INEER;
_Not Applicable
Name:
Address:..
City: stateb
F
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:,.,,,,,
City'
zip: Phone,,
MORTGAGE COMPANY: Not Applicable
Name:
Address:
C t y
03 State
�+ R
Zip: Phone:
BONDING COMPANY: _Not Applicab.le
Name:
--
Address:
City: dp ■MlYFYY+.,GM�{W�YYYlIYN^IY FML-
zip.: � Phone,
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit 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 representatie►n that is granting a permit will aotI�orize the permit holder to build the subject sty°'u�:ture
which is in cor�fiiict with any applicable Home Owners Association rulebylaws
, or and cove nantsth at may restrict or 1)rohibit 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 hero..byagree that I will, in all respects, perform the wrarlc
in accordance with the approved plans, the Florida Building Codes and St, Lucie County Amendments,
The fallowing building permit applications are exempt from undergoing a fail concurrency review: room additions,
accessary structure, 51Ni1111't"i1ng pools,, -1cences, walls, signs, screen rooms and accessary uses to another non-residential uge
WARNING TO OWNER: Your failure to Record a Notice of rnrnmPncP-mP-nt mnv r��� �I�r �n nZ.,�n t%Ariro ;^r
� yr v va ri ■ f ■
improvements to your property,, A Notice of Commencement must be recorded in the public records of St.
Lucie CountV;and posted on the jobsite before the first inSDection. if yQu intpnrl fn obtain finAnrin 10 rons"lt
�th lender o� an at�c�rn�v before cc�rr�m�nci
vvngwark nr r•ecardinyour Nvfice of Comrnencem,entr