HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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
PROPOSED IMPROVEMENT LOCATION: f
Address: 504 OLEANDER AVE
Legal Description: RIVER PARK -UNIT 2- BLK 18 LOT 2 (MAP 34/22N) (OR 3284-36)
Property Tax ID #: 3419-510-0217-000-5
Site Plan Name: Oleander
Project Name: Batista
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Add main breaker disconnect to existing 200 amp service.
Lot No. 2
Block No. 18
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Euclides M Batista
Name: Donald B Green
Additional work to be oertormed under t ispermit—c
11HVAC Gas Tank 0Gas Piping
ec a
h appy:
_ Shutters
--
Windows/Doors
Electric Plumbing
Sprinklers
Generator
Roof �J Roof pitch
Total Sq. Ft of Construction: 1824
Phone No. 772-418-5937
S. Ft. of First Floor:
E -Mail: dongreenelectric@gmail.com
Cost of Construction: $ 950
Utilities:
Sewer
[]
Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Euclides M Batista
Name: Donald B Green
Address: 1448 Wintercross Ct
Company: Don Green Electric
City: Marietta state: GA
Address: 1305 W 1st Street
Zip Code: 30066 Fax:
City: Fork Pierce State: FL
Phone No.
Zip Code: 349$2 Fax:
E -Mail:
Phone No. 772-418-5937
Fill in fee simple Title Holder on next page { if different
E -Mail: dongreenelectric@gmail.com
from the Owner listed above)
State or County License: EC13007447
If value of construction is $2500 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 your Notice of Commencement.
q_iJ2.Lj11__
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF %LrTi►�
The forgoing instrument was acknowledged before me
this'day ofd 20 F'1 by
(Nwe ofPrs0A-ac owledging
(Sig ure f Notary Public- Stateof lorida )
Personally Known OR Produced Identification
Type of Identification Produce:'
)111 --k9J , 31
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF is'"A�
The forgoing instrument was acknowledged before me
this day of !'t,/ 20 by
,� I e�� 1\J
(Nam of person knowle ging }
l
(Signa re f otary Public- State of o ' a
Personally Known OR Produced Identification
Type of Identification Produced
JOY CHRISTINE GUF'tLANU
�15SION #FF94$042 Y P J��{STfNE COPfLANQ
Commission No. Commission No. ry
E7(PI ES: JAN 05. 2020 � � SSION #FF94$042
EXPIRES: ,IAN 05, 2020
l
1"!511VBonded tbrough 1st State Insurance
5U111106 ialUUyll ISI bldfG IIISuIdllGe
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
COMPLETE
INITIALS