HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (2)ALL APPLICABLE INFO. MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED " r
Date: Permit Number: I ` �0,_"
°w d'
.-- .--. Building Permit Application_ ®EC _�
Planning and. Development Services
Building and Code Regulation Division
PERIVI)�I�G ,
2300 Virginia Avenue, Fort Pierce FL 34982 -
St. l,Ucle County,
Phone: (772) 462-1553 -Fax: (772)-462-1578 CoihmerCial
Residential .x FL.
PERMIT APPLICATION FOR:_ To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:' 23285 Orange Ave.
Legal Description: "
Property Tax ID #: 2208-3.22-0001-000-0 ,
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side;:-_
Left Side: `
DETAILED DESCRIPTION OF WORK:
Wire and Install 48KW-Generator
CONSTRUCTION INFORMATION:
1jHVAC L1 Gas Tank ❑Gas Piping Shutters
Electric 0 Plumbing E]Spri6kle'rs' 0-Generator
Total Sq. Ft of Construction: S Ft. of First Floor: _
Cost of Construction: $ 2400. UtilitiesSewer Septic
QWindows/Doors
Roof Roof pitch
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name;Peter Harrison
Name: Lawrence Stubbs
Company: S&W Electric Inc
Address: 23285 Orange Ave _
City: Ft. Pierce State: FL
Address: 501 West Coker Road
Zip Code: 34945 Fax:
City: Ft. Pierce State: FL
Phone No. 772-216-4270
Zip Code: 34945 Fax: 464-4273
E-Mail:
Phone No. 464-6466
Fill in fee simple Title Holder on next page (if different
E-Mail:- stuboutelectdc@aol.com
from the Owner listed above).
State or County License: 29442
If value of construction is $2500 or more, a RECORDED Notice of Commencement is,required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:! ' - - not Applicable
I MORTGAGE COMPANY: = Not Applicable'"'
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone: a I
. Zip: °'- a Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: ' Not Applicable
_
Name:
Name:
Address:
Address:
City: -
City:
.Zip: - Phone:- - -
Zip: Phone: I
I certify that no work or installation has commenced prior to t
St. Lucie County makes no representation that is granting a pei
which is in conflict with -any applicable Home -Owners Associati
structure. Please consult with your Home Owners Association;
In consideration of the granting of this requested permit, I do l
in accordance with the approved plans, the Florida Building.Co
The following building permit applications are exempt from un
accessory structures, swimming pools, fences, walls, signs, scre
WARNING TO OWNER: Your failure to Record a Notici
improvements to your property. A Notice of Comme
before the first inspection. If you intend to.obtain fir
commencipg�ivork or recoO lea ygnr Notice of Comr
A-
re of Owner/Lessee/Contractor as Agent for Owner
issuance of a.permit_:
it will authorize the permit holder to build the subject'structure ; z,
n rules, bylaws or and covenants that may restrict or prohibit such
id review your deed for any restrictions which may apply.,
�reby agree that I will, in all resp(kts, perform the work
es and StJucie County Amendments._ .
ergoing a full concurrencyreview: room additions, '
!n rooms and accessory uses to another non-residential use
of Commencement may result in your paying twice for
icement must -be recorded and posted on the jobsite
racing, consu�ith lender or an attorney.before
encement.
*� s
actor/License Holder, ;
STATE OF FLORIDA I
STATE OF FLORIDA
COUNTY OF � J 1
COUNTY OF
The forgoing instrument was acknowledged before me
'The forgoing instrument was�acknbwledged bef6te me
this day of, flo .-20 1�1 by,
this day of �iae� i 20 �i' '-by`
.:.wtlw.S�L .�.. -
(N-am"e'oof.p' eerrs�onn acknowledging)
(Name of person acknowledging )
( gnature of. Notary Public- St a of Florida }' i1
(Signature of Notary Public- Stat _f Florida.),
+
Personally Known `' OR Produced Identification i
Personally Known OR Produced Identification '...
Type of Identification Produced " 1
Type of -Identification Produced r
SH __.NA l4k GRAM '.
Commission No... ,. �' f((Seal
INGRAM
Y Notzr rem+�� 'State.oi Florida
Commission No. o..`w° �'., '�j
��� ��LAtMAHNA
ntary Putilic'=State of Florida.
N v ec 20, 2016
4n _'; ""fi .= My Comm. Expires D
" M Comm. Expires Dec ; �o
"6; Commission # FF Bonded through National Notary Assn
Revised 07/15% Q `'J # . - y
�'%�F.......oF•' ,_a.�.,,,�n tialinnal NOtafY Assn. ,,.�r,Y.�,,,�ws'-"�>"ur' '' ,
REVIEWS
FRONT'
ZONING
SUPERI,ISOR
PLANS --
VEGETATION-
SEATURTLE
MANGROVE
COUNTER .:REVIEW
-'_-
".REVIEW - •'
: REVIEW-
REVIEW'-': °
= REVIEW'!
,"PREVIEW '
DATE
_
COMPLETE
INITIALS
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