HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MuST BE COMPLETED FOR
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Planning and Development Services
Building and Code Regulation Dlvision
APPLICATION T0 BE ACCEPTED
Permit Number:
Building Permit Application
Commercial A
2300 Virg.Inia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Fundin8
Residential
Project Name:
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRu o N iiNFORMATroN :
Additional work to be performed under this permit -check all that apply:
Mechanical Gas Tank Gas piping
Electric Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: S
Sh utters Wi ndows/Doc rs Pond
Generator Roof
Sq. Ft. of First Floor:
Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:CONTRACTOR:
Address.
`_3as €Cted
Phone No.
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Company:
Address:
Zip Code:
Phone No
E-Mail
State or County License
lf value of construction ls 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.'
SU`PPLEMENTAL CONSFRUCTIO,N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Name:
Address:Add ress: \ @\
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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 lssuance 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 non-residential use
WARNING TO OWNER: Your failure to Record a Notice Of Commencement may result in paying t`^rice for
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c records of St.ancing,consultment.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATloN SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATERECEIVED
DATECOMPLFTED
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