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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ Date: (,/5/1A SCANNED Permit Number: I&063j s BY 41111010 St. Lucie County RECEIVED Building Permit Application Ju/V 252919 Planning and Development Services Aennitt. D Building and Code Regulation Division St. Lucie Couartraent 2300 Virginia Avenue, Fort Pierce FL 34982 tY Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial �� Residential PERMIT APPLICATION FOR: Electrical III Legal D- r � . ' a i3ae-a31-0001-000-7, 13 25 - af- -3 -0 �7tEi Property Tax ID #: 1329- all- 000r- 000 -a, raaus-<W I- o00r-0oo- 5� 12 Il ooro-erg Lot No. Site Plan Name: FPL Tw rF*rrAwSor-az F&JEgW Ckwmm_ Block No. Project Name: F10L 2'.rrz�2S1Ri> 2 Qpwr u Cmnare Setbacks Front Back: Right Side: Left Side: r&JS-n4i U_xT 70►J 'Or C6NSTrl,(,l.C..n,W Powee. HVAC LS( Gas Tank UGas Piping LJ Shutters Electric 0 Plumbing Sprinklers 1:1 Generator Total Sq. Ft of Construction: Cost of Construction: $ 7,50 O Sa1�. Ft. of First Floor: _ Utilities:ll Sewer E]Septic ❑ Windows/Doors 11 Roof = Roof pitch Building Height: Name FLoPir3a PawFe ANn Lrr r-Ti' Name: .ID E &eEAtE Address: -700 LWiVCQS>= ewn Company: 00crtr_AuC. Cawtrnwmut'. INC. City: -)ruaD P.0ru State: FL Zip Code: 31,40R Fax: PhoneNo. (Slot) (g(4 -14000 Address: (-PD n 0. CWJM41FiEV� pvwy City: GA2NEQ State: fL(_- Zip Code: a75a9 Fax: Phone No. (919) '3o'l`j 4,40n E-Mail: Fill in fee simple Title Holder on next page (if different from the owner listed above) E-Mail: &<. LEA�2(0euFrlLAwlt,eophmm State or County License: 3 0133 �(�i w_Jw , K If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUP<PL• M = T L C®.N Rt1 0:: L EN`. I : O` MPSl�l:mill DESIGNER/ENGINEER: Name: 6LAcx Al Ijll Address:11401 I -All _ Not Applicable All MORTGAGE COMPANY: _ Not Applicable Name: Address: City: 6 uFczu►nl All Zip: tl fl Phone State: seCity: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 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. 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 commencing work or recording our Notice of Commenceme Si Lure of Owner/ Lessee/Contractor as Agent for Owner i ature of Contractor/tense Holder STATE OF FL9015A Idit SA STATE OF A Qex�eA COUNTY OF 561 L` COUNTY OF LAC. V-K The forgoing instrume t was acknowledged efore me this 0 day of e-T r( 20�by The forgoing instr ment was acknowledged before me this IE day of U rA-2._ 20-LS-by /t lOflf 1'k zG e'5-041 Na a of person making statement Name of person aking statement Personally Known OR Produced Identification Personally Known = OR Produced Identification Type of I entification Type of Identification Produced Produced (Signature of Notary P (Signature of Notary Public -State of i lorrdl OtNRY Pval' DIANE WARTZ Commission No. C (Seal) Commission No. (rj-a�1D �'. My Appt. F— 3 D AAM -- "� N TTE NSA ApyP Bu ua '�'` ATE OF NEVADA • . myfcommissbn ties: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI N ATU& 't E COUNTER REVIEW REVIEW REVIEW REVIEW E REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17