HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
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OTIS 10
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
PROPOSED IMPROVEMENT LOCATION:
Address: 8060 PLANTATION LAKES DR
Legal Description: See attached
Property Tax ID #: 3328-410-0002-000-9
Site Plan Name: Connolly
Project Name: Connolly
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Provide electric for mini split A/C
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to(e performed under this permit --check a appy:
❑HVAC LJ Gas Tank I]Gas Piping _ Shutters a Windows/Doors
ZElectric ❑ Plumbing Sprinklers F]Generator El Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 600
S. of First Floor:
Utilities:cnSewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Deborah A Connolly and Mark S Connolly
Name: Donald B Green
Address: 10125 Inverness WAY
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 484-459-4435
Company: Don Green Electric
Address: 1305 W 1st Street
City: Fort Plerce State: FL
Zip Code: 34982 Fax:
Phone No. 772-418-5739
E -Mail: msconnol@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: dongreenelectric@gmail.com
State or County License: EC13007447
If value of construction is $2500 or more, a RECORDED Notice of commencemeni is requueu.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
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 your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The foff..��ing instrumen was ackirmwledged before me
this A—fday of a -L 1 20 aby
Donald B Green
(N&ne of pt
Personally Known 1Z
Type of Identification
Commission No.
edging)
Public- State of Florida
Revised 07/15/2014
OR Produced Identification
uced
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrume t was knowledged�/ before me
this day of 20 f --t by
Donald B Green
Personally Known ---\,^ uK Nroaucea laentmcauvn
Type of Identification Produced
h#Y��l!t�g
C RISTINECOPELAND Commission No.
ISSION #FF948042
EXPIRES: JAN 05, 2020
y p JOY affieW�E COPELAND
MY COMMISSION #FF948042
EXPIRES: JAN 05 2020
110-Fow Bonded through 1 st State Insurance
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COM PLETE
INITIALS
28 36 39 BEG AT COR OF LOT 35 RESERVE PLANTATION -PHASE IIA- (PB 26-13), SD PT BEING PC
CURVE CONC NE, CA OF 34 DEG 07 DEG 55 SEC, R OF 220.04 FT, TH SELY ALG ARC 131.08 FT
TO PC REV CURVE CONC W, CA OF 69 DEG 23 MIN 46 SEC, R OF 25 FT, TH SELY ALG ARC 30.28
FT TO PC REV CURVE CONC E, CA OF 35 DEG 18 MIN 40 SEC, R OF 205 FT, TH SLY ALG ARC
126.34 FT TO PC NON -TANG CURVE CONC N, CA OF 29 DEG 43 MIN 17 SEC, R OF 452.07 FT, TH
WLY ALG ARC 234.51 FT TO PC COMP CURVE CONC NE, CA 32 DEG 05 MIN 15 SEC, R OF 447.24
FT, TH NWLY ALG ARC 250.47FT TO SW COR OF SD LOT 35, TH N 76 DEG 13 MIN 04 SEC E ALG S
LI OF SD LOT 35 373.45 FT TO POB (1.71 AC) (OR 3746-2521)