HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Se '
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Res
PERMIT. APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 7603 Sebastian Road
Legal Description: Lakewood park -Unit #2
al X
Property Tax ID #: 1301-602-0123-000-3 !� Lot No. 3
Site Plan Name: Block No. 16
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: 4'
Electrical meter inspection. Power has been off to residence for over a year Power co. requires an
inspection before they will restore power.
CONSTRUCTION INFORMATION: f
❑HVAC U Gas Tank
Electric f] Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 180.00
this permit —cnecK all that apply:
❑Gas Piping _ Shutters
❑Sprinklers Generator
Sq. Ft. of First Floor: _
Utilities: Sewer Septic
Windows/Doors
Roof Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR: �' C
Name -
Name: nomasQuinn
Address:
Company: All ours, ncC.
City: t=om; Ira��� State:,��
Address: 1 Fairfield Street
Zip Coe Fax:
city: Port t. UCIe { State•FL
Phone No.�,5`� � Z-,-/ — �% � Z
Zip Code: 4983 Fax: 77_7— - 79-39W
E -Mail:
Phone No. - 7
E -Mail: T e I .net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
01590i
State or County License: 0
It value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: I State:
Zip: Phone:
Zip: Phone: I
i
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I
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.
Inconsideration 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 and ther 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 vour Notice of Commencement.
as Agent
STATE OF FLORID
COUNTY OF _
The forgoing instru t was acknowledged before me
thit;? day ofi 1 201 -by
p.�..:s
(1\14Lne of person acknowledging )
JKnatdtre of Notary Public- State of FF rida )
Personally Known OR Produced Identification'
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
Signature
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was
this _ day of
(Name of person
Holder
:dged before me
20 — by
(Signature of Notary Public- State of Florida )
I
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
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