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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST .B�E.,COMPLETED FOR APPLICATION TO BE ACCEPTED Date: —�' + 1 2 Permit Number: 4 T ° Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce F134982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: 0 ec PROPOSED IMPROVEMENT LOCATION: Address: SCA acl , 1. `i Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: L'' SCL Q �SC�CG�U�a DETAILED DESCRIPTION OF WORK. New Electrical Meter Second Electrical Meter, I CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical _ Gas Tank —Gas Piping — Shutters _ Electric _ Plumbing _, Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 1, (Affidavit required) _ Generator _ Windows/Doors _ Pond Sq. Ft. of First Floor: Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACT�tOR�:�'' Name L. _ G5 Address: NE So�-% A 6ge- City: '-�) State: FL Name: OY t-1''l01 ffi(lu iock-fo y Company-I-L Q��or" ek'P L-V- j[. Address: A& &e Zip Code: ?,L:J!3'�6 Fax: -- City: "?SL— State: �- Phone No. `b-6N - 'Ypc( e a-k©Co Zip Code: 3 It 18'3 Fax: E-Mail: — Phone No `7' l - �� �i E-Mail tgs C i 2tGc % Fill in fee simple Title Holder on next page (if different State or County License 9C-1 3"'19 from the Owner listed above) 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: YNot Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 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 paying twice 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 a rntt -e afore commencine work or recordine your Notice of Commencement. Of for STATE OF FLORIDA COUNTY OF V Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this ''day of -1A- -xi . 20 di by Name of person Personally Known l\ OR Produced Identification Type of identification Produced (Signature of Notary Pu�b/li�c State of Florida ) Commission No. -I� (Seal) REVIEWS 4 FRONT ( ZONING j COUNTER j REVIEW DATE RECEIVED DATE COMPLETED FAY COMMA ISSSION #1t�G M9 EXPIRES: March 19.2022 i V4W7IVUNo1a1yPubk SUPERVISOR PLANS VEGETATION SEA TURTLE REVIEW REVIEW REVIEW REVIEW MANGROVE REVIEW ELEC`tRICA►1. RISER PLAN NOTTQSCALE 'asp N� �►.�`�j„ PsL, v-► 3,mv)3 M FMK Rquired or NO (drde one) Meter Wombat snd Pktufe 2. - Conductor Size+t^" 3. a. ~Main E= b. Metier Can OnW. GROUNDING ELECTRODE CONDUCTUR SIZE: 0 #-6 #4 0 #2 C1 Ober COATSTRUPiN►!'t1lPE: Residential 0 mobile Home New insiallaGion Old hwWlaiion