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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE )]I+NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) 0,[�,Q Date: /oC"��• �J Permit Number: �Sl�• V'T' d RECEIVED _ . Building Permit Application DEC 31 2015 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34981 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Yy Address: 2900 Industrial 33rd St. Ft. Pierce FI Legal Description: Property Tax ID#: 14.2 O) I"22 ) ©Q 0-1 Lot No. Site Plan Name: Block No. Project Name: SG h _LLA Setbacks Front Back: Right Side: Left Side: ".: a;•,= x sw4= •,i-<.= ,..S ., ,�=,., -,,,.. ,< _ ,, a .,.r ,. � ,,, ,. _ _ s t Energize Existing Electrical Seryice d h �� �►,] s A M P app s,. °'Lt p 5 - a.x. - x e bye AdditionalworK toorme under this permit c ec a appy: Ti1-1 HVAC �Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Z✓ Electric 0 Plumbing Sprinklers F]Generator Roof Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 600.00 Utilities Cn Sewer E]Septic Building Height: .£ -�- Pis '4 Now �rt`'�" rey'"" r, a.. ..1 `'n �3 a., „s, -"` 4 v y. '•! ^ ,rtr�- '` F. Name G r6u 1' { . srS je-lS t-�' j� Name: Robert Ogonowski Address:' J.7Q� S � r 3,,ef Rue-f� "' Company: Advanced Electrical Systems Inc. City:r� �,.1,k A -eZa It State:Fl Address: 2020 Old Dixie Hwy. S.E. Suite#9 Zip Code: 3 33fS' Fax: City: Vero Beach State:FI Phone No. Zip Code: 32962 Fax: 772-778-3925 E-Mail: Phone No. 772-770-2407 Fill in fee simple Title Holder on next page(if different E-Mail: bobaes@comcast.net from the Owner listed above) State or County License: 19326 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 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: OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 o k or recording our Notice of Commencement. Si nature of ner/Lessee/Contractor as Agent for Owner Signatureor/License Holder STATE FLORIDA STATE OFF DA COUNTY OF COUNTY The for oing instrum t was acknowledged before me The r oing instrument was acknowledged before me this day of D 20by this day of f�/' ,20�by C� ry OtAI S I (Name of person acknowledging) (Name of person acknowledging) `°a;;; ;.;.. o W � rn (Signature of N ry Public-Sta a of Flor da) ��,< (Signature of ary Public-State o for a) 2 m wgm � x�c � Personally Known OR Produced IdentifiPersonally Known OR Produced Identificatio m Type of Iden 'fica ' n Daf Type of Idents ation S2 P3 Produced _ vo= Produced . to T Commission No.0 (Seal) Commission ru (Seal) ov E2 �N REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.7/2014