HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `Tl 5 Permit:Number:
.
RE CEI V77 D. DEC%112015
Building.Permit.Application
Planning anal;Development services
Building and Code Regulation Division
2300 Virginia-Avenue,Fort Pierce FL 34982
'Phone:(772)462-1553 Fax:(772)462-1578 -Commercial Residential
PERMIT APPLICATION FOR: To Select from.dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 15601 West Midway,Road 34945,
Legal Description: ST:Lucie County Fair grounds
Property Tax ID#:: �ja,�l X33' �� CJ ��a �a Lot No.
Site Plan Name: Block No.
Project.Name:..St Lucie Fair
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Wire and install a 200 amp meter can'and panel in parking lot for parking lot attendants electric and
for future sign
CONSTRUCTION INFORMATION:
Aclaitional work to be
rformed under tis permit—Check all tnat appy:
OHVAC Gas Tank -[]Gas Piping Shutters Q Windows/Doors
❑✓_Electric 0 Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ ;6 lJC7. �� Utilities: Sewer Septic Building Height:
OWNER/LESSEE:. CONTRACTOR:
Name St.Lucie County BOCC Name. Lawrence Stubbs
Address:2300 Virginia Ave Company: S&W Electric
City: Ft.Pierce State:FL Address: 501 West Coker Road
Zip Code: 34982 Fax: City: Ft.Pierce State:FL
Phone No.642-1700 Zip Code: 34945 Fax: 464-4273
E-Mail:- Phone No. 464-6466
Fill in fee simple Title Holder on next page(if different E-Mail: stuboutelectric@aol.com
from the Owner listed above) State or County License:
EC13006897
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:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 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
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
igna re of Owner/ essee/Agent S ature of ontractor/LiceR-Fder
STATE OF FLORIDAs� v C� STATE OF FLORIpA�
COUNTY OF \—Z COUNTY
The forgoing instrKnent was acknowledged before me The forgoing instrument was acknowledged before me
this day of UP-C_ 20by thisday of 20 by
Cs"kas A-.P-`lN< 21 y )Q)a
(Name of person acknowledging) (Name of person acknowledging)
� da
(Signature of Notary P lic-State of Flori "ok 20 (Signature of Notary Pu c-State of Florida) a
d �PN�P. e °�
Personally Known OR Pio ced� ,� o0 0S HSS rsonally Known OR Pro is 06b 6.2
Type of Identification Produced` # Type of Identification Producedr�y V she — °.
�ss�g� .� oat EX E Baty .r''
hN
Commission No. c a e�,�y aJ�doo9 Commission No. ON
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW- REVIEW REVIEW- REVIEW REVIEW
DATE .
COMPLETE
INITIALS