HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Mach 10,2017 Permit Number:
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: Electrical J
PROPOSED IMPROVEMENT LOCATION:
Address: 179 Vindale Avenue, Ft. Pierce, FL 34951
Legal Description: Lot3, Block 3, BEL-AIRE ESTATES, according to the plat thereof filed in Plat Book 14, Page 21,
Pubic Records of St. Lucie County, Florida.
Property Tax ID #: 1312-701-0044-000/3
Site Plan Name:
Lot No. 3
Block No. 3
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Move electric service location. Ck\e-�-o _:w, 6 -
CONSTRUCTION INFORMATION:
CONTRACTOR:
NameTRACY HOCHENDONER
Name:
Additional work tobene orme under
this permit —check
a appy:
Address:
11HVAC L_J Gas Tank
[]Gas Piping
_ Shutters
a Windows/Doors
EdElectric 0 Plumbing
Sprinklers
E Generator
7 Roof Roof pitch
Total Sq. Ft of Construction:
S�Ftj of First Floor:
Cost of Construction: $ ��D •
Utilities: U Sewer Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
NameTRACY HOCHENDONER
Name:
Address: 188 Imperial Way
Company:
City: Ft. Pierce State:FL
Address:
Zip Code: 34951 Fax:
City: State:
Phone No.772-777-1363
Zip Code: Fax:
E -Mail: tlisaacs718@gmall.com
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License:
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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, 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 vour Notice of Commencement.
r --Ey .. s
as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTYOF_ 'S -V - . Lo t
The forgoing instrument was acknowledged before me
this !`'day of 14A e01J 20 Eby
(Name of person
i
79 -nature of Notary Public- State of Florida j
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20 _by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known ""' OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
sMonrr
Notary PuMk Stato�}{� ssi No. (Seal)
Notary Public - State of Florida Sharlene l Mes oTe
commis Mv F160344
eunimIsseen # FF 23 ffyys a 27, 2019 as Expires 10!12!2018
lifictfCntoti�H hn Assn.'
VIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
CO M P LETE
INITIALS