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HomeMy WebLinkAboutBuilding Permit Application2115 Donald STAll APPLICABLE INFO M Date: L J xguig BE COMPLETED FOR APPLICATION TO BE ACCEPTED Planning and Development Set V, Building and code Regulation Di 2300 Virginia Avenue, Fort pie , Phone: (772) 462-1553 Fax: PERMIT APPLICATION PROPOSED IMPROVED Address: Property Tax ID #: 1 Site Plan Name: _ Project Name: Permit Number: PsrMk Apo pfica o©n es lion Commercial FL 34982 Residential 72) 462-1578 CBDG Funding _ >R: n _ ENCATION: _ rr DETAILED DESCRIPTIO OFIOR1<: New Electrical Meter CONSTRUCTION INFO Additional work to be perform _,Mechanical _ Gas Electric _ Plum Total Sq. Ft of Construction: Cost of Construction: $ I j OWNER/LESSEE: Second Electrical Meter .TION: (Affidavit required) Lot No. (��° Block No. under this permit — check all that apply: k _ Gas Piping _ Shutters Windows/Doors > _-__ _, Sprinklers Generator Pond 3 _ �oof •3-9� �%�' Pitch Sq• i t. of First Floor: — � _.? Name ®hn 60 Address: 11,5 City: R�/G Zip Code: t'1 Fax: Phone No. , 7 -- Fill in fee situp➢e Title holder on fronv the Owner listed above) If value of constrruction is 2500 or me If value of HAVC is $7,500 or more, a Utilities: _ Sewer _ Septic p Building Height: per_ CONTRACT®R: Name: Company:](.%),i-1 Address: T'0,15' City: Zip Code: State: Fax: _ — Phone No���2 m (� � � E-Maili—J® State or County License, a RECORDE® Notice of Commencernent is required. :ORDED Notice of Commencement is required. Stater page (if different E- SUPPLEMENTS C®i+ DESIGNED/ENGINEER Name: Address: City. - Zip: Phone FEE SilVIiELE TITLE Fd®LnE Name: Address: City: Zip: f — Phone: ,OWNER/ CONiTRACT®� AE I certify that no work or, installati St. Lucie County makes no repres which conflicts with any applicab structure. Please cons ult with yo In consideration of the granting o in accordance with the approved RUCTION LIEN LAW IN OORie/IATI®N: Not Applicable . ""UK G UAGE (�06@ pANY: - ! _ Name: ,---_ Address: --__ City. Z• -- Not Applicable Ip' P BONDING Name: Addres— City: Phone: Applicable ____Not Applicable r au��dp Application is hereby made to obtain a permit to do the work and installation as indicated. n has commenced prior to the issuance of a permit. ntation that is granting a permit will authorize the permit holder to build the subject structure e Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such Homeowners Association and review your deed for any restrictions which may apply . this requested permit, I do hereby agree that I will, in all respects, perform the work tans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrent review: accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory WARNING TO OWNER: Your failure to Record a Notice of Commencement y ew: room additions, improvements to your p o art , rY uses to another non-residential use p Y A Notice of Commencement must be recorded iresult in n the public records of St. ice for Lucie County and posted on the jobsite before the first inspection. If you intend t with lender or an attorn before commencingwork or record our Notice of 0 obtain financing, consult Commencement. - - ^yr�acLor- or - ow er Builder as app STATE OF FLORIDA COUNTY, Sworn to (or affirmed) and subscr b this IL day of lqS,21, ed before me of 20 G2, Name of person making statemen _ Personally Known OR Produced Identification Type of Iden4,1�ic- ation Produced (Sig , f Florida) Commission No. sal) REVIEWS FRONT ZONING I COUNTER REVIEW DATE RECEIVED MPLETED Physical Presence or Online Notarization Notary Public State of Florida CarMMY Coemmissionn HHH 09 w n+ Expi". 02115/425 as32za SUPERVISOR PLANS — REVIEW VEGETATION SEA TURTLE REVIEW REVIEW MANGROVE REVIEW REVIEW