HomeMy WebLinkAboutSUBMITTTED PAPERS0 Electrical
13 Shed
I. 1.ocatien/S Address:
Planning & Development Services
Building & Code Regulations. Division (
23M Virginia Ave. 1 \
Fort Pierce, FL 34M C
�
M2)462-1553
a
SPECIALTY PERMIT APPLICAT
Plumbing rl nuAC O Fence
Demolition 13Gas 13Siding / cy,�'�
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2. Parcel w Number. 0-7
3.
4. owners information / 5. Contractors information % Name: i" 'P PiP� 4qd �0• d a FL Reg/Cert #: (�Q (d �%®o / 72y
Address: c,I , Coup Cert#: IA91
City: �� 0,�e , sr e: Bsshwn Name: ��f(,/ i IA&h P Ear• 10 j! G; -En C_
Zip: ��/`��/-�� I Phone: 33� rhone��� spy ���a I12s:
6. Value of Cann: $ ,--�3 K(®y
OWNEws AFFIDAVIT: I.ceif4 that sil.of the information cantamed
compliance with all applicable laws
oral
PRINT OWNEMR CONTRACTOR NAVX� I
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGID BEFORE ME THIS 13 DAY OF Z
WHO IS PERSONALLY KNOWN TOME �R WHO HAS PRODUCED
AS IDENTIFICATION.
SIGN URE OF NOTARY
COMMISSION NUMBER
JUDY D. HUGHART
MY COMMISSION # EE 151140
EXPIRES: December 26, 2015
is corrad and that all work will be done in
l zoning.
OR
(Sad)
NOTICETOONMIL- •FAELURE TO RECORD A NOTICE OF 'COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY IF YOU INTIIVD TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: VC -HEAT REPLACENIENT WITH CONTRACT UNDER 57500AD
Revised 04/26/2010
NOTICE TO OWNER FAILURE TO t hWM A NOTICE OF CONiivuIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
WROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO OBTAIN FINAI+ACMG, CONSULT WITH
YOURiENDER ORAN ATTORNEY BEFORE RECORDING YOURNOUCE OF COM[MMiCaMiT.
EXEMPT: A/C -HEAT REPLACEMM WrfH CONTRACT UNDER S5,000.
I iff RUCTI NS
Please complete all i0ormahon in the space provided. All information .must be printed (use black or blue ink
only) or typed This permit application is to be used only .for those activities that
under a primary are not otherwise included
primary building p This implication not be used for any activity that includes structural
alteration. The information to be provided with this application includes:
1. Locapon/Site Address
2. Parcel ID Number
3. Description of Project or Work ActiVW
4. Owner inforn"on
S. Contractor Information
6. Value of Construction
❑ Gas
❑ Shed:
❑ Fence
❑ Siding
❑ HYAC
Indicate the street address or general location of
Property where the building activity is taking place.
Indicate the tax identification number of the
Property where the building activity is taking place.
1FnUy descnbe the activity to take place.
Indicate the name and address of the owner of the
Property on which activity is .taking place.
Indicate the State of Florida registration number (if
applicable), St. Lucie County comer license
number and the name of the business doing the
work
Indicate the total value of the work to take place.
Tom cost of construction includes all current retail
material and labor costs associated with the
building1bonstruction activity. Construction value is
used to determine the permit fee. St. Lucie County
reserves the right to question and/or modify the
indicated value of construction if it is demonstrated
that the submitted figures are not consistent with
similar types of construction.
Attach 2 Piping schematics with tank size,location, and BTU of each appliance
Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications
Attach 2 plot plans showing location of fence height of fence and type of fence
Attach 2 copies of manufactales specifications
Attach 2 redden&d energy stud
new system or full replacemmt ies, 2 manual d calculations. 2 sets of duct layouts for
This application can be submitted to St. Luxe County Budding and Zoning, 2300 V'
FL 34982. All Virginia Avenue, Fort Pierce,
permit applications must be filled out completely before submission. No applications will be
accepted fer processing aver 4:30 P.hL For assistance in completing this application, Please call (772)
462-1553, during regular office hours (8:00 AM - 5:00 P141), Monday through Friday.
NOTE: Enaugrncy el -tftc service chmSe out "Temom wJW not bePeTWwwd
sPe� a+=gements and addWanai fee paid, �� 3: 6r1 PbI without
Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261.