HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: _
`9t.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential
—V
CBDG Funding
PERMIT APPLICATION FOR: F� e 1C
PROPOSED IMPROVEMENT LOCATION:
Address: 5& 3 qq
Property Tax ID M-3y4lo
.. o no (a "" t Lot No.
Site Plan Name: A �� Block No.
Project Name 'rO OC, 't - Y)kCe i
DETAILED DESCRIPTION OF WORK:
LA Vm uJ :�E
New Elect ical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _ Shutters — Windows/Doors Pond
VElectric _ Plumbing , Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ i ( Co Utilities: , Sewer ,_ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ` 1( Q Wt0
Name:
(;
Address: k `
Company:
City: ri 'occe State: Ft.-
Zip Code: Fax:
Addr s: �'
City: S ����r,
State:
Phone No. E-
Zip Code:
Phone No z
Fax:
4-q t
Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail
t�
from the Owner listed above)
State or County License
IVaUC VLAMM[ULUVII Ob cwu OF mvre, a Km-uKuru wouce oT commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNERjENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip Phone
Address:
City: State•
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name: T
Address:
City:
Zip: Phone:
City:
Zip: Phone:
v vvivcn/ %AJI-41 i;ww wK Hrrluvl 1: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 aD t;2�_efore cglrlmencing work or recordine vour Notice of Commencement_
STATE OF Ft
COUNTY OF
IN
SwofWor affir �d) and s ibscribed be re me of Physical Presence or Online Notarization
this r day of , - 2Q by
Name of person makift sta
Personally Known_
Type of Idardificion Rrodi
of Notary
Produced Identification
Florida )
Commission No. -7 (Seal)
REVIEWS FRONT ZONING
COUNTER I REVIEW
RECEIVED
REBECCA MORRIS
Notary Public - State of Florida
7fl mac` Commission ; HH 1ZB967
My Comm. Ex,�ires May 11, 2025
SUPERVISOR I PLANS I VEGETATION ( SEA TURTLE 1 MANGROVE
REVIEW REVIEW REVIEW } REVIEW REVIEW
�?12� q0t -` etj(
NOTES:
CIt2 �c?v
ELECTRICAL RISER PLAN
NOT TO SCALE
FPL Required �or NO (drde one)
FPL Atxount Number
Meier Number and Pkture
L 'Size Service i--i'�" — -�
L Conductor Size�T-pr--
3. a. Meter Main C�
b. Meter Can Only:
DUNDING ELECTRODE CONDUCTOR SIZE:
#b6
#4.
0 #2
Other
CONSTRU TYPE:
Residential
Q Mobile Nome
New Installation
n Old Installation
e
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