Fillable Phone Number (Town of St. Lucie Village)

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Phone Number (Town of St. Lucie Village)

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U.S.A. forms for Town of St. Lucie Village

BROWSE TOWN OF ST. LUCIE VILLAGE (FL) FORMS

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Permit No.________________
ST. LUCIE VILLAGE APPLICATION FOR BUILDING PERMIT
Builder Name____________________________________________ Date__________________
Address___________________________________________ EMail Address_________________________
Property Address__________________________________
Phone Number
______________________________________
Owners Name if Other Than Builder
LEGAL DESCRIPTION
Name________________________________________
Address_____________________________________
Phone Number________________________________
__________________________
__________________________
__________________________
Distance of Building from Property Line
FLOOR ABOVE CENTER OF STREET
Front_____________________________________________
5 inches 15 inches 24 inches
Side______________________________________________
No, of Bath/Rest Rooms____________________
Rear_____________________________________________
No. & Size of Porches______________________
Purpose of Building__________________________________
Utility Room______________________________
Use_____________________ (Residential, Public, Commercial)
Heating & Air Conditioning___________________
Size______________________________________________
Plumbing________________________________
Stories____________________________________________
No. of Plumbing Fixtures____________________
Roof______________________________________________
Sewerage: City-Septic______________________
Water Supply: City or Well___________________
Electric-Service & Meter Location
Secured from Ft. Pierce Utilities – Yes No
Garage or Carport_________________________
If required, culverts will be installed to grade and specifications by Bldg. Inspector.
If water-proofing is added to concrete in lieu of underlay for
moisture protection a certificate from supplier must be
produced by builder if requested.
“I agree that it is my responsibility to review the construction site & advise the City if it is
necessary to relocate or protect electric power lines, or gas lines for the protection of my
employees. I further understand that expenses for this relocation or protection will be paid
for by me.”
Remarks_____________________________________________________________________________________
____________________________________________________________________________________________
_______________________________________________________________________________________________________
I hereby certify that the statements made herein are true and accurate to the best of my knowledge and belief. All required inspections
will be requested.
List of Sub Contractors Names
Village Occ.
Lic. #
Masonry________________________
Carpentry______________________
Plumbing_______________________
Electrician______________________
Roofing________________________
Heat & Air Con.__________________
Approved
_________________________________
Director of Building & Code Enforcement
I UNDERSTAND THAT NO BUILDING MAY BE
OCCUPIED UNTIL:
A Certificate of Occupancy has been issued after Final
Inspection by the Building Department and full
compliance with the Building code and Zoning
Ordinances.
_______________________________________
Signature of Applicant
Permit Fee $___________
Date_________________________________
Note:
(1) Plans and Specifications of structure to be built or repaired must accompany this application.
(2) Copy of septic permit must accompany, if applicable.
(3) Submit two sets of plans with application
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Phone Number (Town of St. Lucie Village)

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Completed 19 January 2021

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