HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABL INF UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
A'
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 5051 N AIA UNIT 7-5
Legal Description: SEWWARD AT ALTANTIC VIEW UNIT 7-5
Property Tax ID It, 1414-612-0033-000-3 Lot No.
Site Plan Name: Block No.
Project Name: GLORIA PRUNESTI
Setbacks Front Back: Right Side: Left Side:
h EMU
5.
19, :}
Installing power torone Tmotorized shutter with switch. shutter was
originally crank type retro to motorized.
dltlonal work o be nertormed uncler this perm -check all t=appy:
HVAC Gas Tank aGas Piping F Shutters Windows/boors
Electric 0 Plumbing OSprinklers Generator 01 Roof
Total Sq.Ft of Construction: Sr Ft,of First Floor:
Cost of Construction:$ 600 Utilities-1]Sewer 0 Septic Building Height:
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Name GLORIA PRUNESTI Name: JAMES P WILLIAMS
Address: 5051 N AIA UNIT 7-5 Company: ARLINGTON ELECTRIC
City: FORT PIERCE State;FL Address: 3251 SE DIXIE HWY
Zip Code:3 4 9 4 9 Fax: City: STUART State: FL
Phone No, Zip Code: 34997 Fax: 772-287-2380
E-Mail: Phone No.772-287-1353
FIII In fee simple Title Holder on next page(If different E-Mail:gregg@arlingtonelectricinc.com
from the Owner listed above) State or County License: EC0000127
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
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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 prlor to the Issuance of a permit.
St.Lucie County makes no representation that is granting apermit 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 work or recording our Notice of Commencement.
P� � � S
_Sig atur of Owner/Lessee/Agent Sign, ure f Contractor/License Holder
,?,. ,
STATE OF FLORIDA STAT OF FLORIDA
COUNTY OF M. Yni� COUNTY OF MARTIN
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this _day of_ '�� , 20 Eby this 14 day of f eb 20 17 by
may,
CJ j / / 14-- __> JAMES P WILLIAMS
(Name of person acknowledging) ( (Name of person acknowledging)
C-M j 0\
`qU_L__
(Signature Notary Public-State of Florida} (Signature otary Public-State of Florida)
Personal) Persona l{y Known Produced Ide of cation
Type of I n (f Ola,�ProducBNEGG H ROBINSON
Type of �y p 6K
Notary Public.-State oan%- Notary Public. State o lor,y a
Commiss' B' :•= Commission 8G4SCommin rY GG My Comm:.Expires Sep 's;3T.•' M Comm.,Expires Se 25,2020
Revised 07/15/2014 - -
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS