HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED —I
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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 50-,���'�Lc
PROPOSED IMPROVEMENT LOCATION:
Address: 2726 Gentile Road
Legal Description:
Property Tax ID#: 2322-413-0002-000-7 Lot No:
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace Panel and meter can 150 Amp
CONSTRUCTION INFORMATION:
Add itional work to be pertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric E]Plumbing OSprinklers F]Generator Roof
Total Sq.Ft of Construction: S�of First Floor:
Cost of Construction:$ \5d0< �;� Utilities: Sewer Septic Building Height:.
OWNERAESSEE: CONTRACTOR: -
Name John Croft Name: Lawrence Stubbs
Address:2726 Gentile Road Company: S&W Electric Inc
City: Ft.Pierce State:FL Address: 501 West Cpker Road
Zip Code: 34945 Fax: City: Ft.Pierce State:FL
Phone No.561-319-3423 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: 29442
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 TITLEHOLDER: 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,1 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 ith lender or an attorney before
commenWg work or recording our Notice of Commencement.
S
9L/'Signature of Owner/Lessee/Agent Si ture of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5� , L Uc r'Z COUNTY OF �'�C
Thefgrgoing instrument was acknowledg@d efore me The forgoing instrument was acknowledged before me
thiSO: day of.�6 20\ by this\'� day of�36)11 20\rA by
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu ic-State of Floral YENS (Signature of Notary Pub c-State of Florida)
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Revised 07/15f20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS