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HomeMy WebLinkAboutBuilding Permit APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION T0 BE ACCEPTED Date: to Sffo ELun@n EenRffizy`', -u:+, u 4, F E © B; fl ® a -fi Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Divis.Ion 2300 Virgin.Ia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_A__ Project Name: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: Mechanical Gas Tank Gas piping Shutters Windows/Doors Pond Electric plumbing _ Sprinklers Generator 2L Roof Total Sq. Ft of Construction:Sq. Ft. of First Floor: a Pitch Costofconstruction: S \9ilcJ` Utilities: _Sewer _Septic BuildingHeight: OWNER/LESSEE:CONTRACTOR: NametlcnvuOSP€;Q\GC*Name: \)eLir``i].A `R\'ud s:A-n Addres::fos`Di3 ( (\tp.\a!nc\ i))\ ucl Com an . ,T`€.ft:a; t]\t,a..p LLC City: Yi p``JL"C i State: iL Address.. ^iLas +SctL` S+v£&+ Zip code: "qLic} Fax:phon.Nof3b,I-778-D$ 3 c7 city: \/a„> 73ecz c^ state:61 Zip code: 32JO LI Fax:PhoneNolia.533-|uG3 E-Mail:hatryl<<:D¢2i£;`jciz?a"cRiEL.-CDlq~ Fillinfe:simpl='Titl:Holde¥onnextpage(if different E-Mail d€jr i` DV` Ct` v?ru'D@ e r7?cfiJ . (o ¢77 from the Owner listed above)Stateorcounty License C:CC /. ±3()>Cal If value of construction is 2500 or more, a RECORDED Notice of Commericement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. rf # •-\ I \ pplicable .),`¥if!-¢x.;-,.--:`l:,-.t...I,i,u:'..i,-,,-; ` -`-. . . .` _-_.-AGECOMPANY:NotA`^\i;'`E`§i`a.iti`£'7Effi' aiNEER: Not Applicable MORTG Name.Name:Addres Address:city: State: -S. city. State : Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable B0NDING COMPANY: Not Applicable `,, N. I,,- C.ltv..FzeERTEfflz5lie±_g=_c±C.t. ZipY. Phone: 305T~ 778'-C)8.3G Zip: Phone: OWNER/ CONTRACTOR AFFIcertifythatnoworkorinstallatiolDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.nhascommencedpriortotheissuanceofapermit. ##!cj:#3n:?F::w:i:i,:a#i:ahppr,Fff#igt#:6haa!iS;;?s!stJ;,!aotafi;pan:i:a:n:tr%#€a#!o#sz!:te!d%?r:aT:#e3s!tg,it#8n%ua#j#rjc:t;#g,8;Triubi!usruech ln consideration of the granting of this requested permit,I do hereby agree that I will, in all respects, perform the workinaccordancewiththeapprovedplans,theFloridaBuildingCodesandSt.LucieCountyAmendments. The following building permit applications are exempt from undergoing a full concurrency review: rocim additions,accessorystructures,swimmingpools,fences,walls,signs,screenroomsandaccessoryusestoanothernan-residential use WA;#}:ii:v:#::i:no¥¥;yt:tg:e:grerf;aniiijy:I:oA;i,i:i:ga:O;;r::tg:Cie:i,::::tci::!e;nij#vi:§e;#ri:ti:# EL!naoo¥!:e;£gf!c!: forcrecords of Stancing,consultment. ;{.-.,ifez88i[-.-.; Sign¥ure of¢wTFTer/ ress€E7Contractor as Agent for owner ;I;£j:N:i::FCFL°#A=:e::o£\_scTONUT£#5FLORID^irfuhofuoayziCOUNTYOF ¥Es::a:yFgf:::jd£:±d=r:bne,:n:e{:::rTz:t::n,2020by ¥#::a:ylaogf::Te:i):a:¥r:bne|:n::i:::br:z:t::ni+l:`--.`,.-.ifL-l(i+:``:;-, riEtleu 0 ` £pE!6#T Name ofLp€rson making state-ment.riairfe o-f person inaking statrfuent. ' :;:Se°:cf::iye#i%£# #4°R;r#dentlficat|on /:;;sea:fa:Lye#j%:antjELORproducedldentjfjcatjon ProducedLJ-;lIIIIIIliiiiiiiEi/evz±` c:gsus::no#j;pu3b;.£a::3*ffi&, EfflHnatas9#i.£1,©6nes ::nofN:O:;I,p,,u`b_:-\,sft:*rfrfeegivgifeffffH:12Nsri8Ti;-i.disstF-e.:std+o`Oifflffiiiesf¢hT#esMycomfiSxpi're§ e I----- REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION _ _ _ _ - --SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATERECEIVED DATECOMPLETED e:N.5lbl-|JJ