HomeMy WebLinkAboutBuilding Permit Application ALL AP PLI t+3LE l FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `
Date: I Permit Number:_11 SL\— b�a
_ . .. RECEI`.'TD APR 19 2017
- Building Permit Application
Planning and Development Services
Building and Code Regularlon Pivlslon
2300 Virginia Avenue,Fort Pierce FL 34952
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Electrical
Address: 2550 N Kings Highway Fort Pierce, FL 34951
Legal Description:
Property Tax ID#: 1336-232-0000-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Replace 200 amp 3 phase meter can
NMI mite=
Additional workto e e orme under this permit—c ec a appy:
QHVAC Gas Tank ❑Gas Piptng _Shutters ❑Windows/Doors
ZElectric Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq.Ft of.Construction: S ,Ft,of First Floor:
Cost of Construction:$ 1,400.00 Utilities: Sewer Septic Building Height:,=1 !1101111
Name Frank Merola Name: Thomas G.Walton
Address:2550 N Kings Hwy Company: L.Walton Electric, Inc.
City, Ft.Pierce State:Fl- Address: 1135 17th Street
Zip Code: 34951 _ Fax City; Vero Beach State:(=f-
Phone No.772-40$-7441 Zip Code: 32960 Fax: 772-559-8906•
E-Mail: Phone No. 772-569-1547
Fill in fee simple Title Holder on next page(if different E-Mail: waltonelectricincQa gmail-com
from the Owner listed above) State or County License: EC13003506 County:24743
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:_ Name;
Address: Address:
City: State: City: State•
Zip: Phone: Zip: Phone:
'FEE SiMPLE TITLE HOLDER: 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 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
commencin work or recording our Notice of Commencement.
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s
Signature of Owner Lessee/Contractor as Agent for Owner Signature of Con ractor/.License Holder
COUNTY 0Y FOR A
(` � COUNTY OF L`
The fo�instru hent w4s acknowledged before me The for Ing instru ent was acknowledged before me
this of 20/-I-by this/f_Aayof 20/1 by
T92-m- o erson acknowledging) (Name rson acknowledging)
V4.4,e
re of Notary Public-State of Florida) J§a9jtkrYVbf VoTary Public-State of Florida)'
Personally Known OR Produce identification Personally Known OR Produ� Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. N RANCAI„L
_ SARAH IRANOAL.I.
z.: FF90688 - :3 MY COMM16810N 11 FF908987
EXPIKS August 05,2019 EXPIRES Aupusr .20119
Revised 07,115/20141407130"1153 w"*'""°°' s•"""°°"'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS