HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Permit Number:
Building Permit Application
IN
Commercial
Phone: 772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICAT-1.0N FOR:
PROPOSED I-M.P. VEMENT LOCAT
Address:
Property Tax I D #:
Site Plan Name:
Project
Name:
V0%
ION:
V✓
sol- ooi3 --bG0 OPPI
DETAI.-LED.DESCRIPTION OF WORK:
mob= VOO K
Y -
� Residential
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New Electrical Meter Second Electrical Meter.-.. (Affidavit required)
CONSTRUCTIlu N INFORMATION:
Additional work to be oerformed under this permit — check all that annly:
Mechanical
Electric
Total Sq.
Gas Tank
.. Gas Piping
_Sprinkle
Ft of Construction:
Plumbing
Cost ot Construction: $ Ll VOL 0 bG
Shutters
rs
Sq. Ft.
Utilities:
Generator
of First Floo
Sewer
2
Windows/Doors
Lot No
Block No.
Pond
Roof Pitch
Holdomw
r:
>eptic Building Height..
OWNER/LESSEE: CONTRACTOR:
Name q.01% Imc S� Name: at, Vic�Os�i-�'i"
Address: �$ dq S •C. � See Company: L � d s
City: V/1 Y k-V[� Stater Address:sit
Zip Code: )6iso Fax: City: a 1A State: rL
Phone No. `�'i'} - �i Q - ��' �1 � $ E.z*p Code: 3 29 S� Fax:
Mail: Phone No 11�01;tg `gl
Fill in fee simple Title Holder on next page (if different E-Mail LAP Ct�t•lye�t,✓P✓'iScl A L�a�•oe. 4,4�
fro -tit the Owner listed above) State or County License ----
If
value of
If value of
construction is 2500 or more, a RECORDED Notice of Commencement is required.
HAVC is $7,,500 or more, a RECORDED Noticei of Commencement s required'.
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SUPPLE'ME'NTAi �CiNSTRt�l�N L�E1V La►W IN�QRNtAT1C3N
DESIG NER/1-c,,N rjn I NEER*
Not Applica-ble.
i,q a
Address-.
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DLate.
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'Phone
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FEE $1 PLE TLE HOLDER, 4
Na e.,
Address.
C1 ty
ZI PIP
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Mt��`�GWG� Co11l1PA�t�'� � Not Applicable
Name.
Address.,.
City State
p.,
I
PhoneV
BONDING COMPANY: Not Applicab l
Name:
Address-.
City: W111I
Zip: Phony.
I'll r I *dCWft0r*0dA
OWNER/ C0-NTRA;Am.T0R AFrr��l��.fi � o Apptcatic�n is hereby rrtade to obtain a permit to do the work and jnst:;!lat6on as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permitr
St. Lucie County makes no representation that is ranting a permit wilt authorize the permit hoider to build the subject structure
which conflicts with arty a�pUcable Homeowners�ssociat�an rubes, by11[1ws o� ar�d covenants the# rrtay restrict or prohibit such
structure. Please consuai with your Homeowners 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 wilt, i� al{ respects, perform the work
in accordance with the approved pions, the Florida Building Codes and St.. Lucie County Amendments.
The followming building permit applications are exempt from undergoing a fuH concurrency review: room additions.,
accessory structures, sw iIII mniIII ing boats, recces, waUs, signs, screen rooms and accessoiN uses to another non-residential use
WARNING TO OWNER: Your fa*1ure to Record a Notreof Commencemerrt may result in paying twice for
improvements to your property. A Notre of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first -,inspection. If you iniend to obtain financoing, consult
with lender or an attorne
I Aft
I
#.6
our Notice of Commencement
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