HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION T0 BE ACCEPTED
Planning and Development Serv.Ices
Building and Code Regulatic>n Divisiori
Permit Number:
Building Permit Application
Commercial :,/ Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
Project Name:
New Electrical Meter Second Electrical Meter (Affidavit required)
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 Roof
Total Sq. Ft of Construction:
Cost of Construction: S
Sq. Ft. of First Floor:
Utilities: Sewer _ Septic Building Height:
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Fill in fee simple Title Holder on next page (if different E-Mail Drffir)I,Jr\Gnf` f9 Gi;v`cndz .6¢4/V
from the Owner listed above)stateor'cou~n!yLicefrseru,Aft,-fi,-,a.;3`5<7+II
lf 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.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Name:
Address:Address:
City: State :City: \ th State:
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BONDINGCoMPANy: \ \ \ _`REIApplicableName:
Address:Address:
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Zip, Phone:Zip, Phone:
OWNER/ CONTRACTOR AFF DVIT: 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.
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ln 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 nan-residential use
WARNING T0 OWNER: Your failure to Record a Notice of Commencement may resu t in paying twice for
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c records of St.ancing,consultment.
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Nameofperson making st ement.PersonallyKnownProduced Identification
Type of ldentific ationp du d
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATERECEIVED
DATECOMPLETED
ev lu/12/21