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HomeMy WebLinkAboutBuilding Permit Application i.: ALL APPLICABli INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '4 1 I �Date: � Permit Number: �/ v i 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 C mercial X Residential PERMIT APPLICATION FOR: '• Address: 2300 Virginia Ave. Suite 107 Legal Description: Property Tax ID#: 2416-504-0770-000-8 Lot No. Site Plan-Name: Block No. Project Name: SLC Property Appraisers Office Renovations is Setbacks Front Back: Right Side: Left Side: Remove branch circuit electrical outlets from existing partitions and relocate to the new office furniture as needed. Connect branch wiring to new office funiture as needed. f: Additional work to be eitormed under tispermit—check a appy: HVAC Gas Tank ❑Gas Piping Shutters a Windows/Doors ©Electric Plumbing []Sprinklers a Generator El Roof 1= Total Sq. Ft of Construction: SQ. Ft.of First Floor: Cost of Construction:$ $2200.00 Utilities:OSewer F]Septic Building Height: Name St Lucie County Management&Budget Name: Kenneth Geremia Jr. Address: 2300 Virginia Ave Company: Gerelco Electrical City: Ft. Pierce State: FL Address: 560 NW Enterprise'Drive Zip Code: 34982 Fax: 772-462-2117 City: Port St Lucie State: FL Phone No. 772-462-1670 Zip Code: 34986 Fax: 772-340-7475 E-Mail: Phone No. 772-340-7474 Fill in fee simple Title Holder on next page(if different E-Mail: bwillard@gerelco.com from the Owner listed above) State or County License: EC 13003415 I: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 1=: --------- DESIGNER/ENGINEER: x Not ApplicablerName: GAGE COMPANY: x Not Applicable Name:Address: s: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: _ City: City: _ Zip: Phone: Zip: Phone: 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 thepermit 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 i 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 commencin ork or reccyding your Notice of Commencement. 116 s _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLOR A I� ^� �� ,�� STATE OF FLORIDA COUNTY OF ULIL'Ji.c_ COUNTY OF �St LyA- The fo ng instr ,�to)Nledged before me Thefor}�Ing instrument was acknowledged before me thlsay of20 Jby thi '�hiay of 20 by i.: —GVUUCk— (Name of perso cknowledging) (Name of person ac owledging) TOM L i�RRNER ature of Notary o FI ° '°� i I'd to 419 (Si re of Notary Public-State of Florida) ?Q�gtio,,� EXPIRES October 11,2015 Personally Known (407) aced�f g� tice,com Personally Known •' #i•oduced`�RIQq Type of Identification Produced Type of Identification P ',�u ec PAM�l11AI AIQ�Il1�I K rte„„I 141n6 ' oF.io'� EXPIlF�JEeS PPctober 11,2015 Commission No. (Seat) Commission No. SO 1)398-0' a3 FforidaNbtarySenice.cam Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS •