HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONV/ VO
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Budding Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 42A N_S
Property Tax ID #)t: �- 502-- obi , CX004- `Y(42 Lot No.
Site Plan Name: r Block No.
ProjectName: �("T
DETAILED DESCRIPTION OF WORK:
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 ` Window /Doors _ Pond
Electric T Plumbing _ Sprinklers , Generator Roof Pitch
`
Total Sq. Ft of Construction: 1rr�����. 05 IImo�, Sq. Ft. of First Floor:
Cost of Construction: $ coo Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: y
Name H Vo
Address: .Q. Dr
City: State: _
Zip Code: 01� Fax:
Phone No.
Name: (2 afy-Arz Jv') COU
Company: M'C& 2
Addr. s: 1
city : �77��(_P tc GP! State:
Zip Code: 254 1152- Fax:
Phone No : "Wt
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License
If value 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.
v v 1 --■v # s 16Pn #ar•r urzvi i m Application is hereby made to obtain a permit to clothe work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count�yy 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 Nome Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Horne 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 Renard a NOtiice of Commencement, may result in paying tuuFce for
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 lender or an attorney before commencing work or recording your Notice or Commencement.
Signs a of Ow J Lessee/Contractor as Agent for Owner
SATE OF FLORIDA�/� p
COMYOF z l fCi
Sworn to for affirmed) and subscrjbedsfbre me of
hysical Pr or Online Notarization
thislday of 28 by
Jame of p sore making statement.
Personally OR Produced
Type of 1 ntifi Lion1)Pr
odurPA
pigna;ure or niota Ub1Ic- State of Florida) -
Commission No. ��
Notary Puftic Florida
Pamela Jones
REVIEWS FRCS % �` nKii'it�i res oe t cii �ncn�ncr,�
ELATE
RECEIVED
Signature of Contract License Holder
z<: :,:^r F s A.
Sworn or affirmed) and subscribed before me of
Ph sical Prese a Online Notarization
this `day of ! 202-6 by
'Name of person making state -
Personally mown a OR Produced Identification
Type of Idaffi onProduced—
Signature Of N0A guq'c-Pta'be of Florida )
SPLANS f VE6ETATl
REVIEW j REVIEW
Public State of Florida