HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/27/2015 Permit Number:
-
Building Permit Application
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 Residential X
PERMIT APPLICATION FOR: To Select from drop.box, click arrow at the end.of line
PROPOSED IMPROVEMENT LOCATION:
Address: 6804 A& B)Miramar Ave, Fort Pierce, FL. 34951 /
Legal Description: /I¢iL'e U)&rp bAK-. oyik 1?"4 Q��• �7� 16, l
/3//.i•.0 DAA. Z 08Y -zX93
Property Tax ID#: �3OI—GIST —0/7(� —O[�J Lot No.
Site Plan Name: Block No.
Project Name:-
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace the meter can on the building because a tree fell on the over head lines
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this-permit—c ec all that appy:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
❑✓—Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of'Construction:$ • 00 utilitieslnSewer E]Septic Building Height:
OWN ER/LESS/SEE: CONTRACTOR:
Name�/�iiJ r�I JfNi�Z _Name: Robert DiPietro
Address: 303 PA& I)ILivol Company: Bip DiPietro Electric, Inc
City: Aw State: F1 Address: PO Box 1822
Zip Code: 3Z�b 0. Fax: City: Vero Beach State:FL
Phone No.-1.7 Z G 3_1 /7 Zr Zip Code: 32961 Fax: 772-365-0202 .
E-Mail:. 'Phone No. 772-569-7704
Fill in fee simple Title Holder on next page(if different E-Mail: bip@bipelectric.com
from the Owner,listed above) State or County License: EC0002782
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEESIMPLE 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 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 Commencement.
s
_Signature of Owner/Lessee/Agent . Sieare of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �C��l -� COUNTY OF
The f r oing instrur9frit was ac l nowledg d fore me The forNoing instrum nt was acnnowledgpAbBlore me .
thisday of 20k�y this ay of 20 by
(N a of person acknowledging) (Name of person acknowle ing)
(Signature of NoPublic-State of Florida) (Signature of a Public-State of Florida)
Personally Known OR PrIdenAfication Personally Kn OR Produ I entifi ti n
Type of Identification.Produced �I 2, Type of Ident• ,r
MY �GELA
Commission No. s�etunuapun"�Q"d�ioNN(I$�I� ,��yd,, Commission a` C0 A�SSIt)N#EEOaI),
S3aIdX3 -2"'' Bonded 71iru Not' 12,2015
GE5EB0 33#NOISSbyVyO� ry ublic Undenvrke�.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE - MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS