HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/27/17 Permit Number: ® O
Building Permit Application APP 1 3 20'17
Planning and Development Services PERfJil�1-Ti�lG
Building and Code Regulation Division _ St. Lucia County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PR(OPC�SED,IMfPROUEIVhENT•10CATION:°
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Address: 7900 S. Ocean Drive Jensen Beach, FL 34957
Legal Description: DIAMOND SANDS PLAT NO.2(PB 54-40)LOT 1 (OR 3854-1172)
Property Tax ID#.'3527-501-0002-000-9 Lot No. 1
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Site Plan Name: ,(y1 odaRk Block No.
Project Name: Phoenix Homes-Diamond Sands Lot 1 -Brodock
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION q'WORK:
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Install temporary power pole for construction use
CONSTRUCTION INFORMATION
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Additional work to be nerformed under t -Is permit—check all appy:
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HVAC Gas Tank 0Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 850 Utilities:cn Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
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Name Name: Mark Lurtz.
Address: ► !r10-d- Company: Comet Electric&Equipment, LLC
:City:')-: Statey Address: 197 65th Terrace North
Zip`Code'& 9VO Fax: City: West Palm Beach State:FL
Zip Code: 33413 Fax: 561-686-1581
'E-Mail: Phone No. 561-689-4400
Fill in fee simple Title Holder on next page(if different E-Mail: admin@cometelectricinc.com
from the Owner listed above) State or County License: EC13002784
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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:
FEESIMPLE TITLE HOLDER: `Not Applicable .BONDING COMPANY: yNot 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 r an attorney before
commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contract S-/License Holder
STATE OF FLORID STATE OF FLORID
COUNTY OF � � &,d— COUNTY OF Pelmeaach
The forgoing instrument was acknowledged fore me The forgoing instrument was acknowledged before me
this—7 day of �C1�L.t.�.W 20 /acknowledged
by this 271h day of March 20 LZ__by
(Name of person acknowledgin ) (Name of person acknowledging)
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(Signature of Notary ublic-Stye of Florida} lNkQ���_F;5 ida}
Personally Known Personally Known x OR Produced Identification
Type of Identification Prod i;jt, ''. FRANCE$DOW Type of Identification Produced
�iO'01�+1155iO1G�'.
�. ota< EXEtEs:ryu1y27 2017 Commission No. (S
Commission No. ^�• Son Hata Public underwrhers
TRACY VULTAGGIO
Notary Public-State o1 Florida
Commission#FF 813533
a My Comm.Expires Aug 27,2018
Revised 07/15/2014
'' ` Bonded through National Not
ary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS