HomeMy WebLinkAboutjuanitaALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNT Y
F L O R I D A
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 xxxx
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 2904 JUANITA AVE
Legal Description: SHERATON PLAZA -UNIT THREE REPLATLOT 143 (OR 198-884)
Property Tax ID #: 1432-806-0011-000-4
Site Plan Name: Green
Project Name: Green
Setbacks Front Back:
Right Side: Left Side:
Lot No. 143
Block No.
IDETAILED DESCRIPTION OF WORK: I
replacing meter can per FPUA
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Willie F Green
Name: Donald B Green
Additional work to b rformed under
HVAC Gas Tank
this permit— check
DGas Piping
a t a appy:
Shutters
❑ Windows/Doors
❑✓_ Electric ❑ Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction: 1362
S Ft. of First Floor:
Cost of Construction: $ 1200
Utilities:
Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Willie F Green
Name: Donald B Green
Address: 2904 Juanita Ave
Company: Don Green Electric
City: Fort Pierce State: FL
Zip Code: 34946 Fax:
Phone No.
E -Mail:
Address: 1305 W 1st Street
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-418-5739
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 Commencement is required.
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:
Zip: Phone:
City:
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 our Notice of Commencement.
Signature of Owner/Lessee Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA ,,. STATE OF FLORIDA �,QQ
COUNTY OF 1.osy� rJ COUNTY OF
The tprgoing instru wa acknowledge fore me The forgoing instrum nt was acknowledged before me
this day of 20 y this 33 day of C 1 YV_ 20 /1 by
Personally Known xx OR Produced Identification
Type of Identification Produced „ ^
Commission No.
Revised 07/15/2014
JOY CHRISTINE COPELAND
EXPIRES: JAN 05, 2020
Bonded through t st State Insurance
Personally Known xx OR Produced Identification
Type of Identifica" PCqduped
Commission NP"9 1
JOY CHRISTINE COPELAND
EXPIRES: JAN 05, 2020
Bonded through Ist State Insurance
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