HomeMy WebLinkAboutBuilding Permit Application a
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
I'm WON iiwlpl!ii]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 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
,PROPOSED IMPROVEMENT LOCATION:
Address: 229 NE AIROSO BLVD
Legal Description: RIVER PARK-UNIT 9-PART C BLK 80 LOT 16
Property Tax ID#: 3419-570-0088-000-7 Lot No.
Site Plan Name: G O Crichlow Block No.
Project Name: G O Crichlow
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: "
40 GAL NATURAL GAS WATER HEATER
CONSTRUCTION INFORMATION:
Additional work toe e orme under t —checkispermit a appy:
HVAC Ej Gas Tank []Gas Piping _Shutters Q Windows/Doors
Electric ❑✓ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 600.00 Utilities:Sewer Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name G O Crichlow Name: ERIC NERENBERG
Address:229 NE AIROSO BLVD Company: SERVICE AMERICA
City: PORT SAINT LUCIE State:FL. Address: 2755 NW 63RD COURT
Zip Code: 34983 Fax: City: FORT LAUDERDALE State:FL
Phone No. Zip Code: 333309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100
Fill in fee simple Title Holder on next page(if different E-Mail: EPERMITSGROUP@SERVICEAMERICA.COM
from the Owner listed above) State or County License: CFC056891
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Ap11 plicable 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:
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. Notice of Commencement must be recorded and pos don the jobsite
before the first inspection. If yo In end to obtain financing, consult with lender or an t rney before
commencin ,work or recordin our Notice of Commencement.
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i'Si ratur ;antra :or License older
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STATE O. FLORID STATE OF FLORID
CO U NTY OF SAINT LUCIE CO U NTY O F SAINT LU IE
The fe��oing instrumen acknowledged before me The forgoing instrument was acknowledge a ere me
this _tI-day of 26�f by this 21 day of 12 20 : by
ERIC NERENBERG ERIC NERENBERG
(Name of person ackno ed in (Name of person ackn I dgi g)
(Sign tary u -S e o lorida) /Personall
' natuWdentification
otary P6 i - a e o orida)
Per onall Known OR Prod tif!cation n OR Produced Identification
Ty e of dentif' P o uced
JESSI FF 0729SA
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