HomeMy WebLinkAbout Buildling Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL,349,32
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #: 45D 2--. 5d - 03 a 4 -Epp Lot No,
Site Plan Name: Block No.
Project Name:_ UCL*_S- kcQ'Fz(�
I DETAILED DESCRIPTION OF WORK: I
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION: —1
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 4ZRoof Pitch
Total Sq. Ft of Construction: I 0CX) SF Sq. Ft. of First Floor:
Cost of Construction:$ Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name, CS
Acid ress: 19 9> AJ e44 le S N V CF
Name: canuron
Company: I
State:
Address; ItI59 SIF- S, Nliff�
Zip Code: Fax:
. L(I zv
city. _J State:
Phone No.
Zip Code: 34(Di 52 Fax:
Phone No 97"�2_ (021- 9
E-Mail;
Fill in f.. simple Title Holder on next page (if different
E-Mail
from the Owner listed above)
State or County License
- -VW W1 191VIV, 0 MC%.Vr%LJrLJ IMOTIce or%.ommencemenz is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
�ESI(&NE�R/ENSINEER''�
Not
Name: ......... p 13 H i: a �61 e
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MORTGAGE COMPANY: Not Applicable'
Nanne:
Address: -
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City: State:Zip,
Zip: Phone:
City: State:
__ Phone
FEE SIMPLE TITLE HOLDERa Not Applicable
Name:--
BONDING COMPANY= Not Applicable
Name:
Address:
Address:
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City:
Zip: Phone:
Zip: __ Phone:----
8 Wax .41-rg"v s a - Apilticacion is nereny 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 ancovenants 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 hVice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St,
Lucie Cout y and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lenvroran attorney lapforp
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