HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County l
Building Permit Application 2
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Other
�ROPOSED IMPROVEMENT LOCATIO'N`:
Fee Road, Fort Pierce, FI 34982
Legal Description: Please see attached.
Commercial X
Residential
PropertyTax IC #: 2428-112-0002-000-8 �Ly2-!b-111 -Ccpt-Ccc)6 Lot No.
Site Plan Name: St. Lucie County Compound Block No.
Project Name: UTILITIES PERMIT for temporary construction trailer (Project - Mosquito Control Office Remodel)
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION`OF WORK: w
Utilities hook-up for temporary lea trailer - necessary for the remodel of Mosquito Control
office space inside the St. Lucie County Compound. Electrical and plumbing hook-up.
I: CONSTRUCTION INFORMATION': .- - -: _ ' :, III
juiuonai
[1HVAC
worx co oe
errorrnea
[]Gas
Tank
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❑Gas Piping
apply:
Windows/Doors
_Shutters
Electric
LYJ
Plumbing
❑Sprinklers
0
Generator
0 Roof
Total Sq. Ft of Construction: 1344 sq. ft.
Cost of Construction: $ 8,000
S�Ft. of First Floor: 1344 sq. ft.
Utilities:2Sewer Septic Building Height:_
OWNER/LESSEE:'
CONTRACTOR:
Name St. Lucie County
Nam Owner / builder
Address: 2300 Virginia Ave.
Com L n '
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 462-1444 (Facilities)
Phone No. 462-1432 ( Jerrry Flynn, Project Manager)
�y
Address 2 ' B 9 t i -
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 462-1444
Phone No. 462-1432
E-Mail: flynng@stlucieco,org
Fill in fee simple-ritle Holder on next page (if different
from the Owner listed above)
E-Mail: flynng@stlucieco.org
State or County License: N/A
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRNiUCTIOLIEN LAW INFORMATION
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicabl> e
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: _Not
Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencinia work ortecordine vour Notice of Commencement.
STATE OF FLORIDA
COUNTY OF 9" (/( Lc—
TheoiAg instrument was acknowledged before me
thi 7day of rr- 20 -S by
CArkoL Pr. -6 is"10
(Name of person acknowledging )
&the a .3cA�
(Signature of Notary Public -State of Florida )
Personally Known V/OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
N/A - owner bui Idrr
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this_ day of. 2014 by
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
No.
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS