HomeMy WebLinkAboutBuilding PermitALL APPL]CABLE INFO MUST BE COMPLETED FOR APPLTCATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulotion Division
2300 Virginio Avenue, Fort Pierce f:L i4982
Phone: (772) 462-1553 Fax: (772) 4G2-1.578 Commercial Residential xx
Legal Description: Fleetwood Acr'es
Property Tax lD #:
Site Plan Name:
2428-604-001 9-000-0 ge1 11e.3 & 4
Block No. 2
proiect Name: Service change
Setbacks Front Back: _ Right Side:Left Side:
CONSTRUCTION INFORMA,TION:'t:
lditional work to be pertormed under thisIruo. [_l c* rrnt I
narmrt - a appty:
Zrt..t.i. l-l ptumuins E
Gas Piping
Sprinklers tr
Sh utters
Generator
TT
Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction. g 1800.00 Building Height:
Name: Kent Blosser
Company: Blosser Electric
Address: PO Box 7305
6;1y. Potl St Lucie State: Fl
7in caAo' 34985 p"y. 1'|72.-337-2699
phone ytr6. 77 2-337-0055
E-Mail : nrblosser@gmail.com
State or Countv License: EC'13001570
Address: 2205 Barbara Ave, Ft Pierce, Fl
116rns Feroz Chagani
Address: '1989 S US Hwy 1
City: Fort Pierce
7in Carla' 34950
p hone 11e. 407-490-5785
E-Mail : nchagani@icloud.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is 52500 or rnore, a RECORDED Notice of Commencement is required.
I certify that no work or installation has commenced prior to the issuance of a permit.
St Lucie Countv makes no representation that is grantjng a permit will a.uthorize the permit holder to build the subiect structurewhich is in conflict with any g'pplicabLe Home Owners AsSociation rules, bytaws or and covenants that m€V restrict or prohibit suchstructure' Please consult with'your Flome owners Associatioh ana ievi6w'voijiaeecl'ioi rnv'iesiritti.jrit\^iriiin'lil'v"rdpfi '" '""'
ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes and 5t. Lucie Countv Amendments.
The following building permit applic;rtions are exempt from undergoing a full concurrency review: room addltions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another rron-residentiar use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice forimprove,ments to your property. A Notice of Commencement must be reco;ded ani b;,;i|Jirn'tf'.1oOrit"before the first inspection. lf.you intend to obtain financing, consultlvith-'lpnJer or an attorney beforecommencins work or recordi ur Notice of Commencement.
Revised 0711512014
VEGETATION
REVIEW
DESTGNER/ENGtNEER: _ N-iApFticabte
Name:
Ad d ress:
Phone:
MORTGAGE COMPANY: __ Not Applicable
Name:
Address:
Phone:
BONDING COMPANY: __Not Applicabte
Name:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Appticable
Name:
Address:
Phone:
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
Personally Known OR Produced ldentification
Type of ldentification Produced
Commission No.
The forgoing instrument was acknourledged before me
this _ day of
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Signature of Contractor/License H
STATE OF FLORIDA
couNTy o, 4. Luc",e-
Commission No. e
The forgoing instrume.nt was acknowlerd6;ed before me
Arc/u ,,>-o /L ay
Personally Known OR prodgced tdentification @Type of ldentification produced F2Jrl'
(Name of person acknowledging )
y Public- State of Florida )
Notary Pubtic State of Ftorida
Strather DuPree
Er(pires Cr2lO5/2017