HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/7/17 SCANNED Permit Number: Lw7-o_�_21
-N-5 �_J BY
St. Lucie County RECEWED
Building Permit Application JUL - 7 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 900 N. Rock Road
Legal Description: _
Property Tax ID #: 2311-210-0000-000/6
Site Plan Name:
Project Name: ST LUCIE COUNTY JAIL FREEZER ADDITION
Setbacks Front Back: _ Right Side: _
I NEW OUTDOOR FREEZER VJ1 S14
I CONSTkUC-TIb4',INFdRmATibN:
Left Side:
MVIL W610 IU 11CU
0 1 HVA I ( VVW91N LU VM1 Ga I s I Tank U I PUCJ Ll Jib PV1 I I I I L—LilMik d I I dpply;
E]Gas Pip _ Shutters
Electric Plumbing []Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction:$ 99"100b
S Ft. of First Floor:
Utilities"'Ll Sewer 0 Septic
Lot No.
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
qWNFR/LESSEE:
CONTRACTOR:
Name ST LUCIE COUNTY
Name: ST LUCIE COUNTY
Address: 2300 VIRGINIA AVE
Company: ST LUCIE COUNTY
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-216-0168
Address: 2300 VIRGINIA AVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-216-0168
&Mail: CLASBYJ@STLUCIECO.ORG
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: CLASBYJ@STLUCIECO.ORG
State or County License: NIA
ir vaiue cii consiruction is �,&)uu or more, a RECURDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
VIEWUNER/EN15INEER: x NotApplicable
MORTGAGE COMPANY: x NotApplicable
Name: TLCENGINEERS
Name:
Address: 874 DIXON BLVD
Address:
City: COCOA _ State: - FL
City:
Zip: 32922 - Phone: 321T36-0274
Zip: Phone -
FEE SIMPLE TITLE HOLDER: x NotApplicable
BONDING COMPANY: x NotApplicable
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 County 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. Pie ' ase 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
Signatureof Owner/LessCe/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF STLUCIE
The forcing instrument was acknowledged before me
this — day of JULY 20 L7—by
JEREMIAH ICHNSON, SLC FACILITIES MANAGER
Personally Kn6wn X
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Identification
STATE Ok FLORIDA
COUNTY OF STLUCIE
The forgoing M
this 7 day of
I
onally Know
of Identification
Commission No.
11 aCKnowieagea Detore me
.20 17 by
SLC FACILITIES MANAGER
- ate of Florida )
%RP cluced Identification
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